Organization
ATLANTA PRIMARY CARE PEACHTREE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA BENNETT (OFFICE MANAGER)
(678) 487-0556
Entity
Organization
Contact information
Practice address
51 HOSPITAL RD, NEWNAN, GA 30263-1209
(770) 251-5540
(702) 251-5502
Mailing address
51 HOSPITAL RD, NEWNAN, GA 30263-1209
(770) 251-5540
(770) 487-9974
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0225609
CIGNA
GA
01
—
52841180
BCBSGA
GA
01
—
7275373G
AETNA
GA
Enumeration date
07/21/2006
Last updated
02/23/2024
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