| Organization Name: | PEACH CREEK PLANTING CO.,INC. |
| NPI Number: | 1063525558 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN KELLY THOMAS (PURCHASING AGENT) |
| Mailing Address: | 498 W Bankhead St New Albany |
| State: | MS US |
| Postal Code: | 386523319 |
| Phone Number: | 6625344774 |
| Fax Number: | 6625344775 |
| NPI Enumeration Date: | 08/17/2006 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 04919/11.1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |