Organization
ENDOSCOPY ASC OF MIDDLE GEORGIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLIN LEMAISTRE (OFFICER/AUTHORIZED OFFICIAL)
(469) 250-3640
Entity
Organization
Contact information
Practice address
610 3RD ST STE 102, MACON, GA 31201-3293
(478) 464-2600
Mailing address
610 3RD ST STE 102, MACON, GA 31201-3293
(478) 464-2600
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/17/2022
Last updated
10/07/2024
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