WATKINSVILLE OCONEE ENDOSCOPY LLC; NPI #1992653992

Contact Information

WATKINSVILLE OCONEE ENDOSCOPY LLC

1360 CADUCEUS WAY BLDG 700
WATKINSVILLE, GA 30677-7300

Phone: 404-888-7575
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Endoscopy	261QE0800X

Indicates primary specialty

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NPI Profile & details for WATKINSVILLE OCONEE ENDOSCOPY LLC

NPI #	`1992653992`
LBN Legal business name	WATKINSVILLE OCONEE ENDOSCOPY LLC
Authorized official	JULIE MANGINE - (SENIOR MANAGER PAYER ENROLLMENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	03/17/2026
Last updated	03/17/2026 - About 3 months 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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