NORTHERN CRESCENT ENDOSCOPY SUITE, LLC; NPI #1548206493

Contact Information

NORTHERN CRESCENT ENDOSCOPY SUITE, LLC

5671 PEACHTREE DUNWOODY RD NE
SUITE 680
ATLANTA, GA 30342-5000

Phone: 404-705-6985
Fax: 404-851-9950
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Endoscopy	261QE0800X

Indicates primary specialty

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NPI Profile & details for NORTHERN CRESCENT ENDOSCOPY SUITE, LLC

NPI Number 1548206493

LBN Legal business name NORTHERN CRESCENT ENDOSCOPY SUITE, LLC

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

543655296A

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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NORTHERN CRESCENT ENDOSCOPY SUITE, LLC

Contact Information

Specialty

Endoscopy

NPI Profile & details for NORTHERN CRESCENT ENDOSCOPY SUITE, LLC

Reviews for NORTHERN CRESCENT ENDOSCOPY SUITE, LLC