Organization
WEST GEORGIA ENDOSCOPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN A ARLEDGE M.D. (MEDICAL DIRECTOR)
(770) 214-2800
Entity
Organization
Contact information
Practice address
160 CLINIC AVE, CARROLLTON, GA 30117-4451
(770) 214-2800
(770) 834-3321
Mailing address
160 CLINIC AVE, CARROLLTON, GA 30117-4451
(770) 214-2800
(770) 834-3321
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
022307
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
387698079A
—
GA
01
—
P00269425
RAILROAD MEDICARE
GA
Enumeration date
09/28/2006
Last updated
01/31/2024
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