Organization
EASTSIDE ENDOSCOPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARIM SHAKOOR M.D. (MEDICAL DIRECTOR)
(404) 509-1868
Entity
Organization
Contact information
Practice address
1805 HONEY CREEK CMNS SE, CONYERS, GA 30013-5828
(770) 922-7000
Mailing address
1805 HONEY CREEK CMNS SE, CONYERS, GA 30013-5828
(770) 922-7000
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
261QA1903X
GA
Other
Enumeration date
03/27/2017
Last updated
04/05/2017
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