| Peachtree Oral & Maxillofacial Surgery Associates | |
|
550 Pharr Rd Ne Suite 325 Atlanta GA 30305-3428 | |
| (404) 233-8221 | |
| (404) 233-5783 |
| Full Name | Peachtree Oral & Maxillofacial Surgery Associates |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 550 Pharr Rd Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Gregory P. Marks (PRESIDENT) |
| Authorized Official Contact | 4042338221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peachtree Oral & Maxillofacial Surgery Associates 550 Pharr Rd Ne Suite 325 Atlanta GA 30305-3428 Ph: (404) 233-8221 | Peachtree Oral & Maxillofacial Surgery Associates 550 Pharr Rd Ne Suite 325 Atlanta GA 30305-3428 Ph: (404) 233-8221 |
| NPI Number | 1063471324 |
|---|---|
| Provider Enumeration Date | 03/23/2006 |
| Last Update Date | 11/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063471324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 010603 (Georgia) | Primary |
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