| Peachtree Medical Clinic Llc | |
|
657 Village Manor Pl Suwanee GA 30024-6789 | |
| (678) 799-7797 | |
| Not Available |
| Full Name | Peachtree Medical Clinic Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 657 Village Manor Pl, Suwanee, Georgia |
| Authorized Official Name and Position | Aneesh M Gupta (MEMBER) |
| Authorized Official Contact | 6787997797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peachtree Medical Clinic Llc 657 Village Manor Pl Suwanee GA 30024-6789 Ph: (678) 799-7797 | Peachtree Medical Clinic Llc 657 Village Manor Pl Suwanee GA 30024-6789 Ph: (678) 799-7797 |
| NPI Number | 1225350242 |
|---|---|
| Provider Enumeration Date | 02/17/2010 |
| Last Update Date | 02/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225350242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 053231 (Georgia) | Primary |
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