| NPI | 1497183941 |
|---|---|
| Doing Business As | PEACH CLINIC |
| Entity Type | Organization |
| Authorized Contact | KETAN GHIA Manager 678-473-0715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 61431) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: GA 052826) |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: GA 63536) | |
| 207R00000X Internal Medicine (Licence: GA 052826) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: GA 052826) | |
| Enumeration Date | 2013-10-19 |
| Last Update Date | 2014-01-16 |