Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Peach State Providers Group Inc

Organization Physical Therapist · NPI 1629111802

Peach State Providers Group Inc is a Physical Therapist in Morrow, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7146 Southlake Pkwy
Morrow, GA 30260
Phone: (770) 960-9979
Fax: (770) 960-9662
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1741 (GA)

Record details

NPI number1629111802
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brenda Talley — Physical Therapist · (770) 960-9979
NPI enumeratedFebruary 15, 2007
Last updated in NPPESAugust 22, 2020
Mailing address146 Hawn Road, Fayetteville, GA 30215

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