11D2217969 CLIA NUMBER - NORTH GEORGIA ENDOCRINOLOGY, PC

Laboratory Demographics

CLIA Number: 11D2217969

Facility Name: NORTH GEORGIA ENDOCRINOLOGY, PC

Facility Address:
3180 NORTH POINT PARKWAY, SUITE 302, BLDG 3000
ALPHARETTA, GA
ZIP 30005
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Facility Phone Number: 678 224-8686

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1093336331

Taxonomy: 207RE0101X - Internal Medicine
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

CLIA Record

Field Name	Field Value
CLIA Number	11D2217969
LAB Type	Physician Office
Facility Name	NORTH GEORGIA ENDOCRINOLOGY, PC
Street	3180 NORTH POINT PARKWAY, SUITE 302, BLDG 3000
City	ALPHARETTA
State	GA
ZIP	30005
Phone	678 224-8686
CertificateType	4
CertificateEffectiveDate	3/25/2023
CertificateExpirationDate	3/24/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024