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Gwinnett Endoscopy Center, PC

Clinic/Center, Endoscopy in Lawrenceville, GA. Organization (NPI-2).

NPI number1194761908
StatusActive
Last updated in NPPESAug 24, 2011

Details

NPI
1194761908
Entity type
Organization (NPI-2)
Legal business name
Gwinnett Endoscopy Center, PC
Organization subpart
No
Enumeration date
Jun 21, 2006
Last updated
Aug 24, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QE0800X Clinic/Center, Endoscopy––Yes

Practice location

301 Philip Blvd
Suite B
Lawrenceville, GA 30046-8745

Phone 770-822-5562 · Fax 770-338-0510

Mailing address

550 Peachtree St Ne
Suite 1600
Atlanta, GA 30308-2208

Phone 404-888-7575 · Fax 404-885-7777

Authorized official

Jana Baker
Administrator
4048887575

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