# PEACHTREE COLON AND RECTAL CLINIC

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

## Provider details

- **NPI number:** 1407062706
- **Authorized official:** DR. JOSEPH J NICHOLS JR. M.D. (MEMBER LLC)
- **Authorized official phone:** (404) 351-2001

## Contact information

- **Practice address:** 2001 PEACHTREE RD NE, SUITE 540, ATLANTA, GA 30309-1476
- **Practice address phone:** (404) 351-2001
- **Practice address fax:** (404) 352-8418
- **Mailing address:** 2001 PEACHTREE RD NE, SUITE 540, ATLANTA, GA 30309-1476
- **Mailing address phone:** (404) 351-2001
- **Mailing address fax:** (404) 352-8418

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208C00000X | Colon & Rectal Surgery Physician | 35712 | GA | Yes |

## Other

- **Enumeration date:** 05/15/2007
- **Last updated:** 12/27/2007