Organization
WESTSIDE ENDOSCOPY CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVON SPENCER (MANAGER)
(770) 941-4810
Entity
Organization
Contact information
Practice address
3825 MEDICAL PARK DR, SUITE 300, AUSTELL, GA 30106-1109
(678) 945-9600
(770) 948-9149
Mailing address
3825 MEDICAL PARK DR, SUITE 300, AUSTELL, GA 30106-1109
(678) 945-9600
(770) 948-9149
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
033269
GA
Other
Enumeration date
08/24/2005
Last updated
03/02/2024
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