Contract Details
Peachtree Orthopedic Clinic, P.A.
Facility name
College Park Therapy
Provider ID
P000009170
Tax ID
581080740
Effective Date
5/15/2018
Last Updated
3/6/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_512
Location Details
Address
1901 Phoenix Boulevard Suite 200
College Park, GA 30349
United States
County
Fulton
Phone
4043556548 (Phone)
Billing Details
Address
1901 Phoenix Boulevard
Suite 200
College Park, GA 30349
Billing Phone
4043556548
Specialty Type
Occupational Therapy Facility
Map
Address