PEACHTREE FAMILY MEDICINE PC NPI 1679608582

NPI Information

PEACHTREE FAMILY MEDICINE PC is a family medicine in Providence, UT. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PEACHTREE FAMILY MEDICINE PC NPI is 1679608582. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

565 W 465 N STE 130
PROVIDENCE, UT
ZIP 84332-802
Phone: (435) 752-5553
Fax: (435) 755-5043

The provider's authorized official is Vera B Carlson .
The authorized official title is Md and has the following contact phone number (435) 752-5553.

The CLIA number assigned to this NPI record is 46D1049442 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 1/31/2024.

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:

Other Identifiers

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