Organization
WELLBROOK ENDOSCOPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY MARCZUK (PRACTICE MANAGER)
(678) 625-5132
Entity
Organization
Contact information
Practice address
1269 WELLBROOK CIR NE, CONYERS, GA 30012-3873
(770) 922-0505
(678) 625-5137
Mailing address
7229 WHEAT ST NE, COVINGTON, GA 30014-1566
(678) 625-5132
(678) 625-5137
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
4034
GA
Other
Enumeration date
02/14/2007
Last updated
05/05/2021
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