Organization
GI DIAGNOSTICS ENDOSCOPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY L JONES (SENIOR MANAGER, BUSINESS OPERATIONS)
(678) 819-4295
Entity
Organization
Contact information
Practice address
2550 WINDY HILL RD SE, STE. 302, MARIETTA, GA 30067-8665
(770) 226-9070
(770) 951-9016
Mailing address
711 CANTON RD NE STE 300, MARIETTA, GA 30060-8949
(678) 741-2317
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
6800013
GA
261QE0800X
Endoscopy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000805384A
—
GA
05
—
003119778A
—
GA
Enumeration date
03/03/2006
Last updated
01/13/2023
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