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1437428331
PEACHTREE PRIMARY CARE PC
ROSWELL, GA
NPI
1437428331
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Entity Type
Organization
Authorized Contact
ANILA H QIDWAI
Owner
770-676-6838
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 065787)
Enumeration Date
2011-12-21
Last Update Date
2012-05-04
Business Address
PEACHTREE PRIMARY CARE PC
1570 OLD ALABAMA RD
ROSWELL, GA 30076-2107
Phone number: 770-676-6838
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Mailing Address
PEACHTREE PRIMARY CARE PC
1570 OLD ALABAMA RD SUITE 105
ROSWELL, GA 30076-2107
Phone number: 770-676-6838
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