Peachtree Spine & Pain Physicians, INC
Physical Medicine & Rehabilitation, Pain Medicine in Marietta, GA. Organization (NPI-2).
NPI number1881902575
StatusActive
Last updated in NPPESSep 16, 2010
Details
- NPI
- 1881902575
- Entity type
- Organization (NPI-2)
- Legal business name
- Peachtree Spine & Pain Physicians, INC
- Organization subpart
- Yes
- Enumeration date
- Sep 16, 2010
- Last updated
- Sep 16, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2081P2900X | Physical Medicine & Rehabilitation, Pain Medicine | 046109 | GA | Yes |
Other names
- Peachtree Spine Physicians (Doing Business As)
Practice location
711 Canton Rd Ne Ste 200Marietta, GA 30060-8949
Phone 404-843-3323 · Fax 404-574-5944
Mailing address
5555 Peachtree Dunwoody Rd Ne Ste 201Atlanta, GA 30342-1711
Phone 404-843-3323 · Fax 404-574-5944
Authorized official
Jeffrey Bender
President
4048433323
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Other Pain Medicine (Physical Medicine & Rehabilitation) Physician providers in Marietta, GA
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