Organization
PEACHTREE OMFS LLC, DBN PEACHTREE ORAL & FACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA NEWELL (INSURANCE & BILLING SPECIALIST)
(770) 302-0101
Entity
Organization
Contact information
Practice address
262 S PEACHTREE PKWY STE 1, PEACHTREE CITY, GA 30269-1752
(770) 302-0101
(770) 302-0105
Mailing address
262 S PEACHTREE PKWY STE 1, PEACHTREE CITY, GA 30269-1752
(770) 302-0101
(770) 302-0105
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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