# ATL COLORECTAL SURGERY

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

## Provider details

- **NPI number:** 1316146483
- **Authorized official:** MONICA HUM M. D. (PRES)
- **Authorized official phone:** (404) 574-5820

## Contact information

- **Practice address:** 95 COLLIER RD NW, SUITE 4025, ATLANTA, GA 30309-1796
- **Practice address phone:** (404) 574-5820
- **Practice address fax:** (404) 574-5821
- **Mailing address:** 2221 PEACHTREE RD NE, SUITE D442, ATLANTA, GA 30309-1148
- **Mailing address phone:** (404) 574-5820
- **Mailing address fax:** (619) 789-6513

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208C00000X | Colon & Rectal Surgery Physician | 53247 | GA | Yes |

## Other

- **Enumeration date:** 07/17/2007
- **Last updated:** 05/27/2008