Peachtree Podiatry Group

NPI #1336311620 in Tucker, Georgia

Provider Information

NPI Number: 1336311620
Entity Type: Organization
Organization Name: Peachtree Podiatry Group
Primary Specialty: Podiatrist
Enumeration Date: Mar 27, 2008
Last Updated: Mar 27, 2008

Practice Location

Address: 2193 NORTHLAKE PKWY
Address 2: SUITE 114
City: Tucker
State: Georgia
ZIP Code: 30084-4116
Phone: (770) 938-5974

Authorized Official

Name: ALAN S. BANKS, DPM
Title: PRESIDENT
Phone: (770) 384-0284

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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