Provider Demographics
NPI:1922047893
Name:PIEDMONT COLORECTAL ASSOCIATES, PC
Entity Type:Organization
Organization Name:PIEDMONT COLORECTAL ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANJELICA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-351-7900
Mailing Address - Street 1:35 COLLIER RD NW
Mailing Address - Street 2:SUITE 475
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-1613
Mailing Address - Country:US
Mailing Address - Phone:404-351-7900
Mailing Address - Fax:404-351-7901
Practice Address - Street 1:35 COLLIER RD NW
Practice Address - Street 2:SUITE 475
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1613
Practice Address - Country:US
Practice Address - Phone:404-351-7900
Practice Address - Fax:404-351-7901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-06
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty