| NPI | 1417110032 |
|---|---|
| Doing Business As | PEACH TREE MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JENNIFER W JOHNSON Office Manager 803-637-3630 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: SC htl479) |
| Additional Taxonomies | 282NC0060X General Acute Care Hospital, Critical Access (Licence: SC htl479) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2018-01-22 |