Organization
BULLOCH COUNTY ENDOSCOPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN J MORRIS MD (MEDICAL DIRECTOR)
(404) 888-7575
Entity
Organization
Contact information
Practice address
1555 BRAMPTON AVE, STATESBORO, GA 30458-0856
(912) 681-2007
(912) 681-1489
Mailing address
PO BOX 537022, ATLANTA, GA 30353-7022
(404) 888-7575
(404) 885-7777
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
016-298
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003110301A
—
GA
Enumeration date
05/28/2006
Last updated
10/28/2011
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