| Medpeach Consulting, Llc | |
|
931 Lower Fayetteville Rd Suite J Newnan GA 30263-5790 | |
| (770) 683-4772 | |
| (888) 235-9876 |
| Full Name | Medpeach Consulting, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 931 Lower Fayetteville Rd, Newnan, Georgia |
| Authorized Official Name and Position | Vicky Enn (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 8632325062 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medpeach Consulting, Llc 931 Lower Fayetteville Rd Suite J Newnan GA 30263-5790 Ph: (770) 683-4772 | Medpeach Consulting, Llc 931 Lower Fayetteville Rd Suite J Newnan GA 30263-5790 Ph: (770) 683-4772 |
| NPI Number | 1558770503 |
|---|---|
| Provider Enumeration Date | 08/04/2014 |
| Last Update Date | 08/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558770503 | NPI | - | NPPES |
| 893020594A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS8157 (Georgia) | Primary |
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