| Peachtree Health Group Llc | |
|
6110 Pine Mountain Rd Nw Ste 201 Kennesaw GA 30152-3357 | |
| (229) 563-3738 | |
| Not Available |
| Full Name | Peachtree Health Group Llc |
|---|---|
| Speciality | General Practice |
| Location | 6110 Pine Mountain Rd Nw Ste 201, Kennesaw, Georgia |
| Authorized Official Name and Position | Shishir Gupta (MEMBER) |
| Authorized Official Contact | 2295633738 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peachtree Health Group Llc 6110 Pine Mountain Rd Nw Ste 201 Kennesaw GA 30152-3357 Ph: () - | Peachtree Health Group Llc 6110 Pine Mountain Rd Nw Ste 201 Kennesaw GA 30152-3357 Ph: (229) 563-3738 |
| NPI Number | 1174472641 |
|---|---|
| Provider Enumeration Date | 01/27/2026 |
| Last Update Date | 01/27/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174472641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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