Peachtree Medical Clinic LLC

NPI #1225350242 in Suwanee, Georgia

Provider Information

NPI Number
1225350242
Entity Type
Organization
Organization Name
Peachtree Medical Clinic LLC
Primary Specialty
Internal Medicine
Enumeration Date
Feb 17, 2010
Last Updated
Feb 17, 2010

Practice Location

Address
657 VILLAGE MANOR PL
State
Georgia
ZIP Code
30024-6789
Phone
(678) 799-7797

Authorized Official

Name
ANEESH M GUPTA, MD
Title
MEMBER
Phone
(678) 799-7797

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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