Organization · Type 2 NPI
Locust Grove Endo Center
Ambulatory Surgical Clinic/Center · Locust Grove, GA
NPI number
1023134640
Active
Practice location
4865 Bill Gardner Parkway
Locust Grove, GA 30248
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
Other ambulatory surgical clinic/center providers in Locust Grove
About NPI 1023134640
Locust Grove Endo Center's National Provider Identifier is 1023134640, issued on Mar 22, 2007. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Locust Grove, GA. The record was last updated on Aug 22, 2020.