Organization
PEACHTREE SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN WALKER CSA, CFA (OWNER)
(678) 691-6529
Entity
Organization
Contact information
Practice address
7742 SPALDING DR, STE 115, NORCROSS, GA 30092-4207
(678) 691-6529
(770) 840-7464
Mailing address
7742 SPALDING DR, STE 115, NORCROSS, GA 30092-4207
(678) 691-6529
(770) 840-7464
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
238.000137
IL
246ZS0410X
Surgical Technologist
F01331
GA
246ZS0410X
Surgical Technologist
—
—
363AS0400X
Surgical Physician Assistant
Primary
F01331
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417098229
PROVIDER
IL
01
—
1891837696
PROVIDER
IL
01
—
1942342761
PROVIDER
IL
Enumeration date
01/27/2011
Last updated
03/24/2016
Update your record
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