Peach Emergency Group LLC

NPI #1902165327 in Byron, Georgia

Provider Information

NPI Number: 1902165327
Entity Type: Organization
Organization Name: Peach Emergency Group LLC
Primary Specialty: Emergency Medicine
Enumeration Date: May 4, 2012
Last Updated: Mar 23, 2022

Practice Location

Address: 1960 247 CONNECTOR
City: Byron
State: Georgia
ZIP Code: 31008-5663
Phone: (478) 654-2000

Authorized Official

Name: LISHA C FALK
Title: VP OF CONTRACTING
Phone: (337) 609-1221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Emergency Medicine	207P00000X	Primary

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