Organization
ATHENS ENDOSCOPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TANDEKAH SCOTT (BUSINESS ADMINISTRATOR)
(706) 548-0446
Entity
Organization
Contact information
Practice address
21 JEFFERSON PL STE 2, ATHENS, GA 30601-1761
(706) 433-0788
(706) 433-0786
Mailing address
21 JEFFERSON PL STE 2, ATHENS, GA 30601-1761
(706) 433-0788
(706) 548-4801
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
029-441
GA
Other
Enumeration date
11/03/2010
Last updated
08/03/2011
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