Organization · Type 2 NPI
Southern Endoscopy Suite, LLC
Endoscopy Clinic/Center · Lawrenceville, GA
NPI number
1215986609
Active
Practice location
763 Old Norcross Rd
Lawrenceville, GA 30045-4317
Fax (678) 985-1999
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | None listed |
| Endoscopy Clinic/Center Primary | 261QE0800X | 067-200 (GA) |
Endoscopy Clinic/Center: Definition to come...
Another provider at this address
Other endoscopy clinic/center providers in Lawrenceville
About NPI 1215986609
Southern Endoscopy Suite, LLC's National Provider Identifier is 1215986609, issued on May 10, 2006. The primary taxonomy on file is Endoscopy Clinic/Center (261QE0800X), and the practice location is in Lawrenceville, GA. The record was last updated on Nov 28, 2017.