# AFFINITY GASTROENTEROLOGY ASC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Grandview Endoscopy Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225698681
- **Authorized official:** KRISTY MUSIC (AO- DIRECTOR, PROVIDER ENROLLMENT)
- **Authorized official phone:** (615) 465-7377

## Contact information

- **Practice address:** 3686 GRANDVIEW PKWY STE 610, BIRMINGHAM, AL 35243-3406
- **Practice address phone:** (205) 971-3700
- **Practice address fax:** (205) 971-3701
- **Mailing address:** 3686 GRANDVIEW PKWY STE 610, BIRMINGHAM, AL 35243-3406

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/18/2019
- **Last updated:** 08/21/2024