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Contact Information

PEACHTREE SURGICAL ASSOCIATES
7742 SPALDING DR
STE 115
NORCROSS, GA30092-4207
 Phone: 678-691-6529
 Fax: 770-840-7464
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for PEACHTREE SURGICAL ASSOCIATES · (Female)

NPI Number 1487950275
Status Active
Credentials
Entity Individual
Enumeration date 01/27/2011
Last updated 03/24/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # F01331
  • IL License # 238.000137
  • IL Other 1417098229 PROVIDER
  • IL Other 1891837696 PROVIDER
  • IL Other 1942342761 PROVIDER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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