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Contact Information

EASTSIDE ENDOSCOPY CENTER, LLC
1805 HONEY CREEK CMNS SE
CONYERS, GA30013-5828
 Phone: 770-922-7000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endoscopy

261QE0800X
Indicates primary specialty

NPI Profile & details for EASTSIDE ENDOSCOPY CENTER, LLC

NPI Number 1609309137
LBN Legal business name EASTSIDE ENDOSCOPY CENTER, LLC
Authorized official KARIM SHAKOOR - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/11/2017
Last updated 04/11/2017 - About 9 years ago
Identifiers n/a
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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