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PEACHTREE PEDIATRICS PLLC NPI 1487782942


NPI Information

NPI: 1487782942
Provider Name: PEACHTREE PEDIATRICS, PLLC

Former Legal Business Name: PEACHTREE PEDIATRIC CLINIC, P.A.

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
125 MEDICAL PARK LN
SUITE F
MURPHY, NC
ZIP 28906
Phone: (828) 837-2128
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PEACHTREE PEDIATRICS, PLLC is a pediatrics in Murphy, NC. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PEACHTREE PEDIATRICS, PLLC NPI is 1487782942. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Peachtree Pediatric Clinic, P.a..

The provider's business location address is:

125 MEDICAL PARK LN
SUITE F
MURPHY, NC
ZIP 28906-920
Phone: (828) 837-2128
Fax: (828) 837-6244

The provider's authorized official is Kathryn Gibson Waggoner .
The authorized official title is Owner and has the following contact phone number (828) 837-2128.

The enumeration date for this NPI number is 2/28/2007 and was last updated on 9/12/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
189012C7MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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