Organization
PEACHTREE ORTHOPAEDIC CLINIC
Active
Organization
PEACHTREE ORTHOPAEDIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ED MITCHELL CPA (CFO)
(404) 355-0743
Entity
Organization
Contact information
Practice address
11800 AMBER PARK DR., PARKWAY 400 BUILDING ONE SUITE 200, ALPHARETTA, GA 30009
(404) 355-0743
(404) 355-2136
Mailing address
2001 PEACHTREE RD NE STE 705, ATLANTA, GA 30309-1476
(404) 355-0743
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/30/2009
Last updated
12/13/2018
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