Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Peachtree Family Medicine PC

Organization Family Medicine Physician · NPI 1679608582

Peachtree Family Medicine PC provides Family Medicine Physician services in Providence, Utah. Licensed in Utah. Registered with an NPI since 2007.

Licensed in
UT
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

565 W 465 N Ste 130
Providence, UT 84332-4802
Phone: (435) 752-5553
Fax: (435) 755-5043
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5916429-1205 (UT)

Record details

NPI number1679608582
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vera Carlson — Md · (435) 752-5553
NPI enumeratedFebruary 22, 2007
Last updated in NPPESNovember 6, 2024
Certification dateNovember 6, 2024
Mailing address169 N Gateway Dr, 170, Providence, UT 84332-9855

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