# COLONIAL REHABILITATION GROUP, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1942749635
- **Authorized official:** MR. CHRISTOPHER BRIAN DURHAM (PRESIDENT)
- **Authorized official phone:** (770) 874-5400

## Contact information

- **Practice address:** 585 SOUTHLAKE BLVD, SUITE B, NORTH CHESTERFIELD, VA 23236-3080
- **Practice address phone:** (804) 897-9056
- **Mailing address:** 5665 NEW NORTHSIDE DR, SUITE 320, ATLANTA, GA 30328-5831
- **Mailing address phone:** (770) 874-5400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/15/2017
- **Last updated:** 02/15/2017