# NORTH GEORGIA COLON AND RECTAL SURGERY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255562948
- **Authorized official:** E EARL PENNINGTON MD (MEMBER)
- **Authorized official phone:** (678) 954-8538

## Contact information

- **Practice address:** 3890 JOHNS CREEK PKWY, SUITE 320, SUWANEE, GA 30024-1284
- **Practice address phone:** (678) 954-8538
- **Mailing address:** 3890 JOHNS CREEK PKWY, SUITE 320, SUWANEE, GA 30024-1284
- **Mailing address phone:** (678) 954-8538

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208C00000X | Colon & Rectal Surgery Physician | 015299 | GA | Yes |

## Other

- **Enumeration date:** 07/29/2009
- **Last updated:** 09/25/2013