Organization
PEACHSTATE ORTHOPEDICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN MERRITT WANDERMAN M.D. (PRESIDENT)
(770) 631-6410
Entity
Organization
Contact information
Practice address
211 PRIME PT, SUITE 2H, PEACHTREE CITY, GA 30269-3334
(770) 631-6410
Mailing address
211 PRIME PT, SUITE 2H, PEACHTREE CITY, GA 30269-3334
(770) 631-6410
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036312
GA
Other
Enumeration date
09/15/2008
Last updated
09/15/2008
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