| NPI | 1750193405 |
|---|---|
| Doing Business As | PEACHTREE FAMILY MEDICINE AND WEIGHT LOSS |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ANN RICCALARSEN Member 541-637-5033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2025-01-21 |
| Last Update Date | 2025-01-21 |