Organization
PEACHTREE ORTHOPAEDIC CLINIC, P.A..
Active
Other names
Peachtree Orthopedics
Organization subpart
No
Provider details
NPI number
Authorized official
TOLAN E. MITCHELL (CFO)
(404) 355-0743
Entity
Organization
Contact information
Practice address
1000 NORTHSIDE DR NW STE 1500, ATLANTA, GA 30318-5479
(404) 355-0743
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
05/10/2021
Last updated
05/10/2021
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