Organization
PEACHTREE CARE CENTER OF COVINGTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ANTHONY (MEDICAL BILLING ASSOCIATE)
(678) 894-0388
Entity
Organization
Contact information
Practice address
6133 PETTY ST SW, COVINGTON, GA 30014-3888
(678) 894-0388
Mailing address
2221 PEACHTREE RD NE STE D-397, ATLANTA, GA 30309-1148
(678) 894-0300
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/25/2017
Last updated
07/25/2017
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