Organization · NPI-2

Dublin Endoscopy Center, LLC

Clinic/Center, Endoscopy · Dublin, GA

NPI number1841517893
StatusActive
Last updated in NPPESMar 1, 2016

Details

NPI
1841517893
Entity type
Organization (NPI-2)
Legal business name
Dublin Endoscopy Center, LLC
Organization subpart
No
Enumeration date
Apr 30, 2010
Last updated
Mar 1, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QE0800X Clinic/Center, Endoscopy087-444GAYes

Practice location

111 Fairview Park Dr
Dublin, GA 31021-2501

Phone 478-277-1255 · Fax 478-277-1922

Mailing address

Po Box 1925
Dublin, GA 31040-1925

Phone 478-277-1255 · Fax 478-277-1922

Authorized official

Ellen K Barr
Administrator
4782721366

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