Peachtree Surgical Associates

NPI 1275883464 - Registered Nurse - 163WR0006X

NPI Details
NPI 1275883464
Enumeration Date 09/14/2012
Last Updated 09/14/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name CLARENCE A CLARENCE
Position REGISTERED NURSE FIRST ASSISTANT
Phone (678) 580-2587
Fax
Practice Location
7742 SPALDING DR STE 115
NORCROSS GA, 30092-4207, US
Phone (678) 580-2587
Fax
Business Location
7742 SPALDING DR STE 115
NORCROSS GA, 30092-4207, US
Phone (678) 580-2587
Fax
Toxanomy
Taxonomy Code 163WR0006X
License State Georgia
License Number RN147191
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According to our database, Peachtree Surgical Associates NPI is 1275883464, taxonomy code is 163WR0006X and license number is RN147191, license state is located at Georgia. Peachtree Surgical Associates physically located at 7742 Spalding Dr Ste 115, Norcross GA, 30092-4207. NPI Number 1033115704 has the healthcare provider type.

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1275883464 NPI number is provided on an as is basis without warranty of any kind. 1275883464 is maintained by the National Plan & Provider Enumeration System. The contents of Peachtree Surgical Associates are for informational purposes only.