Contract Details
Peachtree Orthopaedic Clinic, P.A.
Facility name
Peachtree Orthopaedic Clinic
Provider ID
P000009152
NPI
1215366489
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
1505 Northside Blvd. Suite 3100
Cumming, GA 30041
United States
County
Forsyth
Phone
4043550743 (Phone)
Billing Details
Address
1505 Northside Blvd.
Suite 3100
Cumming, GA 30041
Billing Phone
4043550743
Specialty Type
Surgery, Orthopedic
Map
Address