NPI | 1922510643 |
---|---|
Doing Business As | PEACHTREE SPINE & PAIN PHYSICIANS |
Entity Type | Organization |
Authorized Contact | COLLIN LEMAISTRE Officer / Authorized Official 469-250-3640 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
Enumeration Date | 2017-11-03 |
Last Update Date | 2024-09-13 |