| Peachtree Immediate Care | |
|
1495 Lafayette Pkwy Lagrange GA 30241-2552 | |
| (706) 884-7822 | |
| (706) 884-7828 |
| Full Name | Peachtree Immediate Care |
|---|---|
| Speciality | Family Medicine |
| Location | 1495 Lafayette Pkwy, Lagrange, Georgia |
| Authorized Official Name and Position | Andrea Malik-roe (CFO) |
| Authorized Official Contact | 6785046392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peachtree Immediate Care 1275 Highway 54 W Ste 201 Fayetteville GA 30214-4538 Ph: (678) 688-9685 | Peachtree Immediate Care 1495 Lafayette Pkwy Lagrange GA 30241-2552 Ph: (706) 884-7822 |
| NPI Number | 1316433477 |
|---|---|
| Provider Enumeration Date | 07/02/2018 |
| Last Update Date | 07/02/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316433477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 18-10206 (Georgia) | Primary |
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