| Peachtree Medical And Surgical Associates Pc | |
|
64 Eastbrook Bnd Peachtree City GA 30269-1530 | |
| (770) 487-3272 | |
| (770) 632-7867 |
| Full Name | Peachtree Medical And Surgical Associates Pc |
|---|---|
| Speciality | Surgery |
| Location | 64 Eastbrook Bnd, Peachtree City, Georgia |
| Authorized Official Name and Position | Don C Walker (PRESIDENT SURGEON) |
| Authorized Official Contact | 7704873272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peachtree Medical And Surgical Associates Pc Po Box 2530 Peachtree City GA 30269-0530 Ph: (770) 487-3272 | Peachtree Medical And Surgical Associates Pc 64 Eastbrook Bnd Peachtree City GA 30269-1530 Ph: (770) 487-3272 |
| NPI Number | 1245451509 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 02/01/2015 |
| Medicare PECOS PAC ID | 7315928199 |
|---|---|
| Medicare Enrollment ID | O20040527000341 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245451509 | NPI | - | NPPES |
| 45631 | Other | GA | UHC |
| 52672999 | Other | GA | BCBS FED PRG |
| 110139118 | Other | GA | OTHER |
| 1290417 | Other | GA | UHC |
| 52446409 | Other | GA | BCBS OF GA |
| 52446409 02 | Other | GA | BCBS |
| GRP191 | Other | GA | MEDICARE GRP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 024876 (Georgia) | Secondary |
| 208600000X | Surgery | 024876 (Georgia) | Primary |
| Provider Name | Don C Walker |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1497810980 PECOS PAC ID: 5991892804 Enrollment ID: I20110214000276 |
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