NORTHEAST ENDOSCOPY CENTER, LLC is an ambulatory surgical clinic center in Lawrenceville, GA. NORTHEAST ENDOSCOPY CENTER, LLC NPI is 1578531208. The provider is registered as an organization entity type.
The provider's business location address is:
721 WELLNESS WAY
STE 110
LAWRENCEVILLE, GA
ZIP 30046-304
Phone: (678) 879-0999
Fax: (678) 578-6873
The provider's authorized official is William Gordon Tanner .
The authorized official title is Director and has the following contact phone number (678) 879-0999.
The CLIA number assigned to this NPI record is 11D1048945 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/9/2006 and was last updated on 8/7/2014.