Organization
GASTRO SPECIALISTS ENDOSCOPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY A HARRIS M.D. (PRESIDENT)
(404) 294-8180
Entity
Organization
Contact information
Practice address
3292 MOUNTAIN DR, SUITE A, DECATUR, GA 30032-1102
(404) 294-8180
(404) 294-8188
Mailing address
3292 MOUNTAIN DR, SUITE A, DECATUR, GA 30032-1102
(404) 294-8180
(404) 294-8180
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
—
GA
Other
Enumeration date
04/22/2009
Last updated
08/19/2010
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