Organization
BRASELTON ENDOSCOPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLIN LEMAISTRE (OFFICER/AUTHORIZED OFFICIAL)
(404) 781-2921
Entity
Organization
Contact information
Practice address
2334 SPARTA WAY STE 200, BUFORD, GA 30519-2001
(678) 997-2151
(770) 965-4056
Mailing address
PO BOX 908058, GAINESVILLE, GA 30501-0912
(678) 997-2151
(770) 965-4056
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/01/2012
Last updated
09/05/2024
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