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Organization

BRUNSWICK ENDOSCOPY CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RITA Y WARREN R.N. (ADMINISTRATOR)
(912) 267-1802
Entity
Organization

Contact information

Practice address
3217 4TH ST, BRUNSWICK, GA 31520-3759
(912) 267-1802
(912) 267-0061
Mailing address
3217 4TH ST, BRUNSWICK, GA 31520-3759
(912) 267-1802
(912) 267-0061

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
063-134
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00763639A
GA
Enumeration date
05/26/2006
Last updated
05/14/2008
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