Organization
PEACH STATE MEDICAL PRACTICE, PC
Active
Parent organization
KBI SERVICES, INC
Other names
Kindbody of GA Medical Practice, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KBI SERVICES, INC
Authorized official
DR. FAHIMEH SASAN DO (FOUNDING OBGYN)
(855) 563-2639
Entity
Organization
Contact information
Practice address
3005 PEACHTREE RD NE, ATLANTA, GA 30305-2214
(855) 563-2639
Mailing address
333 S DESPLAINES ST STE 201, CHICAGO, IL 60661-5514
(855) 563-2639
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
207VE0102X
Reproductive Endocrinology Physician
Primary
—
—
Other
Enumeration date
12/03/2020
Last updated
05/20/2024
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