Peachtree Physical Medicine Group

NPI #1205113065 in Atlanta, Georgia

Provider Information

NPI Number
1205113065
Entity Type
Organization
Organization Name
Peachtree Physical Medicine Group
Primary Specialty
Clinic/Center - Rehabilitation
Enumeration Date
Nov 8, 2011
Last Updated
Nov 8, 2011

Practice Location

Address
1140 HAMMOND DR NE
Address 2
SUITE 110
State
Georgia
ZIP Code
30328-5338
Phone
(770) 454-8300

Authorized Official

Name
MICHAEL WAX
Title
CEO
Phone
(770) 454-8300

Specialties & Taxonomy Codes

Specialty
Clinic/Center - RehabilitationRehabilitation

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