| Peachtree Medical Clinic Llc | |
| 
					657 Village Manor Pl Suwanee GA 30024-6789  | |
| (678) 799-7797 | |
| Not Available | 
| Full Name | Peachtree Medical Clinic Llc | 
|---|---|
| Speciality | Internal Medicine | 
| Location | 657 Village Manor Pl, Suwanee, Georgia | 
| Authorized Official Name and Position | Aneesh M Gupta (MEMBER) | 
| Authorized Official Contact | 6787997797 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Peachtree Medical Clinic Llc 657 Village Manor Pl Suwanee GA 30024-6789 Ph: (678) 799-7797  | Peachtree Medical Clinic Llc 657 Village Manor Pl Suwanee GA 30024-6789 Ph: (678) 799-7797  | 
| NPI Number | 1225350242 | 
|---|---|
| Provider Enumeration Date | 02/17/2010 | 
| Last Update Date | 02/17/2010 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1225350242 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 053231 (Georgia) | Primary | 
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