| The Peach Pit | |
|
1809 River Rd Fort Valley GA 31030-7029 | |
| (478) 827-3224 | |
| Not Available |
| Full Name | The Peach Pit |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1809 River Rd, Fort Valley, Georgia |
| Authorized Official Name and Position | Gwendolyn Coley (CLINICAL DIRECTOR) |
| Authorized Official Contact | 4788273224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Peach Pit Po Box 891 Fort Valley GA 31030-0891 Ph: (478) 827-3224 | The Peach Pit 1809 River Rd Fort Valley GA 31030-7029 Ph: (478) 827-3224 |
| NPI Number | 1023511789 |
|---|---|
| Provider Enumeration Date | 03/08/2018 |
| Last Update Date | 03/29/2021 |
| Certification Date | 03/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023511789 | NPI | - | NPPES |
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