Organization
ENDOSCOPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNNE MARINI (CEO)
(912) 303-4200
Entity
Organization
Contact information
Practice address
1139 LEXINGTON AVE STE B, SAVANNAH, GA 31404
(912) 303-4200
(912) 790-2701
Mailing address
1139 LEXINGTON AVE STE B, SAVANNAH, GA 31404
(912) 303-4200
(912) 790-2701
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
02406
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
976125519A
—
GA
Enumeration date
08/14/2006
Last updated
09/29/2020
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