institution
Gastrointestinal Endoscopy Of Gwinnett, P.c.
Ambulatory Surgical Clinic/Center in Lawrenceville, Georgia
NPI 1699769703

Gastrointestinal Endoscopy Of Gwinnett, P.c. is an Ambulatory Surgical Clinic/Center based in Lawrenceville, GA and is specialized in Ambulatory Surgical. Gastrointestinal Endoscopy Of Gwinnett, P.c. practices in Lawrenceville, GA. The NPI Number for Gastrointestinal Endoscopy Of Gwinnett, P.c. is 1699769703 and holds a License No. 111072 (Georgia).

The current practice location address for Gastrointestinal Endoscopy Of Gwinnett, P.c. is 600 Professional Dr, Lawrenceville, GA and can be reached out via phone at 770-995-7989 and via fax at 770-339-8646. You can also correspond with Gastrointestinal Endoscopy Of Gwinnett, P.c. through the mailing address at 600 PROFESSIONAL DR, LAWRENCEVILLE, GA - 30045-7651 (mailing address contact number: 770-995-7989).

Location: 600 Professional Dr, Lawrenceville, GA, 30045-7651
institution
Provider Profile Details
NPI Number
1699769703
Provider Name
Gastrointestinal Endoscopy Of Gwinnett, P.c.
Credential
Provider Entity Type
Organization
Address
600 Professional Dr, Lawrenceville, GA, 30045-7651
Phone Number
770-995-7989
Fax Number
770-339-8646
Provider Enumeration Date
09/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00643365A 05 GA
4103 01 GA BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
600 Professional Dr
City
State
Zip
30045-7651
Phone Number
770-995-7989
Fax Number
770-339-8646
person
Provider Business Mailing Address Details
Address
600 Professional Dr
City
State
Zip
30045-7651
Phone Number
770-995-7989
Fax Number
770-339-8646
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
111072 (Georgia)
Definition
Definition to come...
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