Organization
PEACHTREE ORTHOPAEDIC CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARANYA CHIARAVALLOTI DIRECTOR OF REVENUE (DIRECTOR OF REVENUE SERVICES)
(404) 350-2447
Entity
Organization
Contact information
Practice address
2001 PEACHTREE RD, SUITE 705, ATLANTA, GA 30309
(404) 355-0743
Mailing address
PO BOX 13594, BELFAST, ME 04915-4026
(404) 355-0743
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XP3100X
Pediatric Orthopaedic Surgery Physician
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
07/13/2006
Last updated
11/14/2017
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