Organization
GAINESVILLE ENDOSCOPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLIN LEMAISTRE (OFFICER/AUTHORIZED OFFICIAL)
(404) 781-2921
Entity
Organization
Contact information
Practice address
2324 LIMESTONE OVERLOOK STE 200, GAINESVILLE, GA 30501-7443
(770) 536-8109
(770) 536-3203
Mailing address
PO BOX 908058, GAINESVILLE, GA 30501-0916
(770) 297-5324
(770) 297-9046
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111228ASCA
MEDICARE GROUP NUMBER
GA
Enumeration date
10/12/2006
Last updated
09/05/2024
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