Contract Details
Peachtree Orthopedic Clinic, P.A.
Facility name
Woodstock Therapy
Provider ID
P000009179
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
105 Smokehill Lane Suite 120
Woodstock, GA 30188
United States
County
Cherokee
Phone
4044251222 (Phone)
Billing Details
Address
105 Smokehill Lane
Suite 120
Woodstock, GA 30188
Billing Phone
4044251222
Specialty Type
Physical Therapy
Map
Address