Organization
PANOLA ENDOSCOPY CENTER LLC
Active
Other names
Panola Endoscopy Center
Organization subpart
No
Provider details
NPI number
Authorized official
JANA BAKER MD (ADMINISTRATOR)
(404) 888-7575
Entity
Organization
Contact information
Practice address
5403 HILLANDALE PARK COURT, SUITE A, LITHONIA, GA 30058
(770) 817-0224
(770) 817-0228
Mailing address
550 PEACHTREE ST NE, SUITE 1600, ATLANTA, GA 30308-2208
(404) 888-7575
(404) 885-7777
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
—
—
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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