institution
Northlake Endoscopy Center
Ambulatory Surgical Clinic/Center in Tucker, Georgia
NPI 1871594499

Northlake Endoscopy Center is an Ambulatory Surgical Clinic/Center based in Tucker, GA and is specialized in Ambulatory Surgical. Northlake Endoscopy Center practices in Tucker, GA. The NPI Number for Northlake Endoscopy Center is 1871594499 and holds a License No. 044047 (Georgia).

The current practice location address for Northlake Endoscopy Center is 1459 Montreal Rd, Tucker, GA and can be reached out via phone at 770-939-4721 and via fax at 770-939-1187.

Location: 1459 Montreal Rd, Tucker, GA, 30084-6900
institution
Provider Profile Details
NPI Number
1871594499
Provider Name
Northlake Endoscopy Center
Credential
Provider Entity Type
Organization
Address
1459 Montreal Rd, Tucker, GA, 30084-6900
Phone Number
770-939-4721
Fax Number
770-939-1187
Provider Enumeration Date
08/04/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000468652A 05 GA
institution
Provider Business Practice Location Address Details
Address
1459 Montreal Rd
City
State
Zip
30084-6900
Phone Number
770-939-4721
Fax Number
770-939-1187
person
Provider Business Mailing Address Details
Address
1459 Montreal Rd
City
State
Zip
30084-6900
Phone Number
770-939-4721
Fax Number
770-939-1187
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
044047 (Georgia)
Definition
Definition to come...
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