Augusta Endoscopy Center, LLC.
Clinic/Center, Endoscopy in Evans, GA. Organization (NPI-2).
NPI number1265561419
StatusActive
Last updated in NPPESNov 5, 2020
Details
- NPI
- 1265561419
- Entity type
- Organization (NPI-2)
- Legal business name
- Augusta Endoscopy Center, LLC.
- Organization subpart
- No
- Enumeration date
- Mar 5, 2007
- Certification date
- Nov 5, 2020
- Last updated
- Nov 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0800X | Clinic/Center, Endoscopy | 036-258 | GA | Yes |
Practice location
393 N Belair RdEvans, GA 30809-3096
Phone 706-863-9735 · Fax 706-650-7825
Mailing address
393 N Belair RdEvans, GA 30809-3096
Phone 706-863-9735 · Fax 706-650-7825
Authorized official
Jeff Meyer
Administrator
7068680104
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