Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Peaches Proctology LLC

Organization Colon & Rectal Surgery Physician · NPI 1306754940

Peaches Proctology LLC provides Colon & Rectal Surgery Physician services in Atlanta, Georgia. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1700 Belle Isle Cir NE
Atlanta, GA 30329-2528
Phone: (678) 379-3812
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X

Record details

NPI number1306754940
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carmen Fong — President · (989) 750-5180
NPI enumeratedSeptember 1, 2026
Last updated in NPPESSeptember 1, 2026
Certification dateSeptember 1, 2026
Mailing address2480 Briarcliff Rd Ne Ste 6, Atlanta, GA 30329-3008

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