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Organization
PEACHTREE COLON AND RECTAL CLINIC
Active
Organization
PEACHTREE COLON AND RECTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH J NICHOLS JR. M.D. (MEMBER LLC)
(404) 351-2001
Entity
Organization
Contact information
Practice address
2001 PEACHTREE RD NE, SUITE 540, ATLANTA, GA 30309-1476
(404) 351-2001
(404) 352-8418
Mailing address
2001 PEACHTREE RD NE, SUITE 540, ATLANTA, GA 30309-1476
(404) 351-2001
(404) 352-8418
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
35712
GA
Other
Enumeration date
05/15/2007
Last updated
12/27/2007
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