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Contact Information

PEACH MEDICAL MANAGEMENT
440 INDUSTRIAL BLVD
HAWKINSVILLE, GA31036
 Phone: 478-783-4988
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility Supplies

332BN1400X 87 All Other Suppliers
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for PEACH MEDICAL MANAGEMENT

NPI # 1851597652
LBN Legal business name PEACH MEDICAL MANAGEMENT
Authorized official KAREN FLETCHER - (PART B BILLING COORDINATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/27/2007
Last updated 09/11/2025 - About 9 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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