GWINNETT ENDOSCOPY CENTER, PC; NPI #1194761908

Contact Information

GWINNETT ENDOSCOPY CENTER, PC

301 PHILIP BLVD
SUITE B
LAWRENCEVILLE, GA 30046-8745

Phone: 770-822-5562
Fax: 770-338-0510
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Endoscopy	261QE0800X

Indicates primary specialty

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NPI Profile & details for GWINNETT ENDOSCOPY CENTER, PC

NPI Number 1194761908

LBN Legal business name GWINNETT ENDOSCOPY CENTER, PC

Authorized official JANA BAKER - (ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/21/2006

Last updated 08/24/2011 - About 15 years ago

Identifiers

Medicaid

00587298A

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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