WOODSTOCK ENDOSCOPY CENTER; NPI #1063458909

Contact Information

WOODSTOCK ENDOSCOPY CENTER

900 TOWNE LAKE PKWY STE 310
WOODSTOCK, GA 30189-1604

Phone: 770-926-0771
Fax: 770-926-9321
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Endoscopy	261QE0800X

Indicates primary specialty

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NPI Profile & details for WOODSTOCK ENDOSCOPY CENTER

NPI Number 1063458909

LBN Legal business name WOODSTOCK ENDOSCOPY CENTER

Authorized official JANA BAKER - (ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/21/2006

Last updated 01/18/2019 - About 7 years ago

Identifiers

Medicaid

800348822A

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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WOODSTOCK ENDOSCOPY CENTER

Contact Information

Specialty

Endoscopy

NPI Profile & details for WOODSTOCK ENDOSCOPY CENTER

Reviews for WOODSTOCK ENDOSCOPY CENTER