Contract Details
Peachtree Orthopaedic Clinic, P.A.
Facility name
Peachtree Orthopaedic Clinic
Provider ID
P000009150
NPI
1588802474
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
3400-C Old Milton Parkway Suite 345
Alpharetta, GA 30005
United States
County
Fulton
Phone
4044251653 (Phone)
Billing Details
Address
3400-C Old Milton Parkway
Suite 345
Alpharetta, GA 30005
Billing Phone
4044251653
Specialty Type
Surgery, Orthopedic
Map
Address