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Organization

PEACHSTATE ORTHOPEDICS P C

Active
Other names
Peachtree City Physical Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEVEN MERRITT WANDERMAN MD (PRESIDENT)
(770) 631-6410
Entity
Organization

Contact information

Practice address
211 PRIME PT, SUITE 2H, PEACHTREE CITY, GA 30269-3334
(770) 631-6410
(770) 631-6413
Mailing address
211 PRIME PT, SUITE 2H, PEACHTREE CITY, GA 30269-3334
(770) 631-6410
(770) 631-6413

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
02/08/2007
Last updated
06/02/2008
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