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Organization
PEACHES PROCTOLOGY PLUS
Active
Organization
PEACHES PROCTOLOGY PLUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARMEN FRANCES FONG MD (PRESIDENT)
(989) 750-5180
Entity
Organization
Contact information
Practice address
4775 JIMMY CARTER BLVD STE 300, NORCROSS, GA 30093-3760
(678) 379-3812
(833) 455-9739
Mailing address
4775 JIMMY CARTER BLVD STE 300, NORCROSS, GA 30093-3760
(678) 379-3812
(833) 455-9739
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
NULL
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Enumeration date
09/01/2026
Last updated
10/14/2026
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