| Healthchoice Center Of Peachtree City Llc | |
|
14 Eastbrook Bnd # 201 Peachtree City GA 30269-1530 | |
| (770) 408-0184 | |
| (770) 632-7747 |
| Full Name | Healthchoice Center Of Peachtree City Llc |
|---|---|
| Speciality | General Practice |
| Location | 14 Eastbrook Bnd # 201, Peachtree City, Georgia |
| Authorized Official Name and Position | Matthew J Dunn (PRESIDENT) |
| Authorized Official Contact | 7704080184 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthchoice Center Of Peachtree City Llc 14 Eastbrook Bnd # 201 Peachtree City GA 30269-1530 Ph: (770) 408-0184 | Healthchoice Center Of Peachtree City Llc 14 Eastbrook Bnd # 201 Peachtree City GA 30269-1530 Ph: (770) 408-0184 |
| NPI Number | 1073747002 |
|---|---|
| Provider Enumeration Date | 05/05/2009 |
| Last Update Date | 08/07/2015 |
| Medicare PECOS PAC ID | 3678622693 |
|---|---|
| Medicare Enrollment ID | O20111104000186 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073747002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Sandra N Salter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427003078 PECOS PAC ID: 1254345986 Enrollment ID: I20060201000445 |
| Provider Name | Noah Marchese |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1356725675 PECOS PAC ID: 6709195670 Enrollment ID: I20151014003323 |
| Provider Name | Lea D Aspinwall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487271169 PECOS PAC ID: 5496170524 Enrollment ID: I20200805003278 |
| Provider Name | Samuel A Webb |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1891353611 PECOS PAC ID: 0345667598 Enrollment ID: I20200902001056 |
| Provider Name | Marcella Marzett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366029381 PECOS PAC ID: 7517358070 Enrollment ID: I20211217000759 |
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