Peachtree Medical Group LLC
Clinic/Center, Health Services in Alpharetta, GA. Organization (NPI-2).
NPI number1982474151
StatusActive
Last updated in NPPESJul 29, 2025
Details
- NPI
- 1982474151
- Entity type
- Organization (NPI-2)
- Legal business name
- Peachtree Medical Group LLC
- Organization subpart
- No
- Enumeration date
- Jan 8, 2024
- Certification date
- Jul 29, 2025
- Last updated
- Jul 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QH0100X | Clinic/Center, Health Services | – | – | Yes |
Practice location
13010 Morris RdAlpharetta, GA 30004-3873
Phone 470-300-2019
Mailing address
13010 Morris Rd Ste 650Alpharetta, GA 30004-5197
Phone 470-300-2019
Other practice locations
6386 Corley Rd
Peachtree Corners, GA 30071-1704
Peachtree Corners, GA 30071-1704
Phone 470-300-2019
Authorized official
Douglas Brilliant
Managing Director
4703002019
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