Organization
GWINNETT ENDOSCOPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J. THOMAS SHEPHERD (CHAIRMAN, GOVERNING BOARD)
(678) 312-4521
Entity
Organization
Contact information
Practice address
3855 PLEASANT HILL RD, SUITE 130, DULUTH, GA 30096-1407
(678) 736-5201
(678) 736-5241
Mailing address
3855 PLEASANT HILL RD, SUITE 130, DULUTH, GA 30096-1407
(678) 736-5201
(678) 736-5241
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
—
—
Other
Enumeration date
03/03/2009
Last updated
11/12/2009
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