NORTHWEST ENDOSCOPY CENTER LLC NPI 1992941462

NPI Information

NORTHWEST ENDOSCOPY CENTER, LLC is an ambulatory surgical clinic center in Marietta, GA. NORTHWEST ENDOSCOPY CENTER, LLC NPI is 1992941462. The provider is registered as an organization entity type.
The provider Is Doing Business As North West Endoscopy Center.

The provider's business location address is:

488 KENNESAW AVE NW
SUITE 100
MARIETTA, GA
ZIP 30060-409
Phone: (770) 427-3075
Fax: (770) 427-3261

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

The CLIA number assigned to this NPI record is 11D1104074 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/5/2009 and was last updated on 8/24/2011.

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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