Organization
PEACH PEDIATRICS LLC
Active
Other names
Peach Pediatrics LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MONAL SHAH MD (OWNER)
(404) 944-5057
Entity
Organization
Contact information
Practice address
3030 OLD ATLANTA RD STE 500, CUMMING, GA 30041-5867
(770) 203-2000
(770) 886-7903
Mailing address
3030 OLD ATLANTA RD STE 500, CUMMING, GA 30041-5867
(770) 203-2000
(770) 886-7903
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
11/15/2024
Last updated
11/15/2024
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