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PEACHTREE COLON AND RECTAL CLINIC NPI 1407062706


NPI Information

NPI: 1407062706
Provider Name: PEACHTREE COLON AND RECTAL CLINIC
Classification: Colon & Rectal Surgery - 208C00000X
Entity Type: Organization
Address:
2001 PEACHTREE RD NE
SUITE 540
ATLANTA, GA
ZIP 30309
Phone: (404) 351-2001
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PEACHTREE COLON AND RECTAL CLINIC 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. PEACHTREE COLON AND RECTAL CLINIC NPI is 1407062706. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2001 PEACHTREE RD NE
SUITE 540
ATLANTA, GA
ZIP 30309-476
Phone: (404) 351-2001
Fax: (404) 352-8418

The provider's authorized official is Joseph J Nichols .
The authorized official title is Member Llc and has the following contact phone number (404) 351-2001.

The enumeration date for this NPI number is 5/15/2007 and was last updated on 12/27/2007.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208C00000XColon & Rectal Surgery35712GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GRP347MEDICARE PINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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