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General NPI Number Information
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NPI Number | 1881549947
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Entity Type | Organization
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Legal Business Name | PEACHTREE RAPIDCARE MEDICAL CENTER INC
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Dates
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Enumeration Date | 03/03/2026
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 6825 JIMMY CARTER BLVD
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City | NORCROSS
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State | GA
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Zip | 30071-1228
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Country | US
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Telephone | 470-797-6566
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Fax |
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Provider Business Mailing Address
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Address Line | 6825 JIMMY CARTER BLVD
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City | NORCROSS
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State | GA
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Zip | 30071-1228
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Country | US
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Telephone | 470-797-6566
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MAHITH DEVATHI
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Credential |
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Telephone | 470-797-5655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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