Gastrointestinal Endoscopy Of Gwinnett, P.C.

LBN: Gastrointestinal Endoscopy Of Gwinnett, P.C.
Gastrointestinal Endoscopy Of Gwinnett, P.C. is an health care organization with primary practice located at 600 Professional Dr Ste 130, Lawrenceville GA 30045-7651. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Gastrointestinal Endoscopy Of Gwinnett, P.C. can be contacted via phone (770) 995-7989, or through Martin, Zack Zeke via phone (770) 995-7989.

Contact Information

Primary practice address
600 Professional Dr Ste 130 Lawrenceville GA 30045-7651
Phone: (770) 995-7989
Fax: (770) 339-8646
Website:
Map and Directions
Authorized official contact:
Name: Martin, Zack Zeke
Phone: (770) 995-7989

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 111072 Georgia

Profile Details

NPI number 1699769703
LBN Legal business name Gastrointestinal Endoscopy Of Gwinnett, P.C.
DBA Doing business as
Authorized official Martin, Zack Zeke
Entity Organization
Organization subpart 1 No
Enumeration date Sep 2nd, 2005
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699769703 NPPES
Georgia MEDICAID 00643365A
Georgia Other 4103

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