Organization
PEACHTREE CENTER REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY JOSEPH BROE DOC (PRESIDENT)
(404) 522-9991
Entity
Organization
Contact information
Practice address
241 PEACHTREE ST NE, MARTA LEVEL SUITE B, ATLANTA, GA 30303-1424
(404) 522-9991
(404) 522-9890
Mailing address
241 PEACHTREE ST NE, MARTA LEVEL SUITE B, ATLANTA, GA 30303-1424
(404) 522-9991
(404) 522-9890
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIRO007816
GA
Other
Enumeration date
12/07/2012
Last updated
02/04/2013
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