CLARKE COUNTY ENDOSCOPY CENTER LLC NPI 1588030704

NPI Information

CLARKE COUNTY ENDOSCOPY CENTER LLC is an endoscopy clinic center in Athens, GA. CLARKE COUNTY ENDOSCOPY CENTER LLC NPI is 1588030704. The provider is registered as an organization entity type.
The provider Is Doing Business As Athens Clarke County Endoscopy Center.

The provider's business location address is:

340 N MILLEDGE AVE
ATHENS, GA
ZIP 30601
Phone: (404) 888-7575

The provider's authorized official is Jana Baker .
The authorized official title is Adminstrator and has the following contact phone number (404) 888-7575.

The CLIA number assigned to this NPI record is 11D2199502 - other - med first responder vehic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/12/2015 and was last updated on 2/17/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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