Organization
GI NORTH ENDOSCOPY.LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LENA FONTONOT (BILLING MANGER)
(705) 332-7384
Entity
Organization
Contact information
Practice address
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE 200, CUMMING, GA 30040
(404) 446-0600
Mailing address
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE 200, CUMMING, GA 30040
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QE0800X
Endoscopy Clinic/Center
—
—
Other
Enumeration date
01/10/2018
Last updated
05/19/2022
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