| Peachtree Vascular Specialists, P.c. | |
|
2817 Reilly St Fort Bragg NC 28310-6118 | |
| (910) 907-1035 | |
| (910) 907-9468 |
| Full Name | Peachtree Vascular Specialists, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2817 Reilly St, Fort Bragg, North Carolina |
| Authorized Official Name and Position | Daniel T. Mcdevitt (PRESIDENT) |
| Authorized Official Contact | 7709969945 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peachtree Vascular Specialists, P.c. 1035 Southcrest Dr Suite 250 Stockbridge GA 30281-6118 Ph: (770) 996-9945 | Peachtree Vascular Specialists, P.c. 2817 Reilly St Fort Bragg NC 28310-6118 Ph: (910) 907-1035 |
| NPI Number | 1366595068 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 04/14/2020 |
| Medicare PECOS PAC ID | 6901897362 |
|---|---|
| Medicare Enrollment ID | O20040524000490 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366595068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Alan Merrill Levy |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1558414276 PECOS PAC ID: 2668579483 Enrollment ID: I20110107000618 |
| Provider Name | Daniel Mcdevitt |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1174676829 PECOS PAC ID: 1759488570 Enrollment ID: I20110126000372 |