Gwinnett Endoscopy Center, Pc

LBN: Gwinnett Endoscopy Center, Pc
Gwinnett Endoscopy Center, Pc is an health care organization with primary practice located at 301 Philip Blvd Suite B, Lawrenceville GA 30046-8745. The organization recently has only one registered license in Ambulatory Health Care Facilities / Endoscopy, which is considered as the primary health care specialty. Gwinnett Endoscopy Center, Pc can be contacted via phone (770) 822-5562, or through Baker, Jana via phone (404) 888-7575.

Contact Information

Primary practice address
301 Philip Blvd Suite B Lawrenceville GA 30046-8745
Fax: (770) 338-0510
Website:
Authorized official contact:
Name: Baker, Jana

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Endoscopy 261QE0800X

Profile Details

NPI number 1194761908
LBN Legal business name Gwinnett Endoscopy Center, Pc
DBA Doing business as
Authorized official Baker, Jana
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2006
Last updated Aug 24th, 2011 - about 13 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 1194761908 NPPES
Georgia MEDICAID 00587298A

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