ATL COLORECTAL SURGERY NPI 1316146483

NPI Information

ATL COLORECTAL SURGERY is a colon rectal surgery in Atlanta, GA. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. ATL COLORECTAL SURGERY NPI is 1316146483. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

95 COLLIER RD NW
SUITE 4025
ATLANTA, GA
ZIP 30309-796
Phone: (404) 574-5820
Fax: (404) 574-5821

The provider's authorized official is Monica Hum .
The authorized official title is Pres and has the following contact phone number (404) 574-5820.

The CLIA number assigned to this NPI record is 11D1090505 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/17/2007 and was last updated on 5/27/2008.

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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