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Organization

NORTHWEST ENDOSCOPY CENTER, LLC

Active
Other names
North West Endoscopy Center
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JANA BAKER (ADMINISTRATOR)
(404) 888-7575
Entity
Organization

Contact information

Practice address
488 KENNESAW AVE NW, SUITE 100, MARIETTA, GA 30060-9409
(770) 427-3075
(770) 427-3261
Mailing address
550 PEACHTREE ST NE, SUITE 1600, ATLANTA, GA 30308-2247
(404) 888-7575
(404) 885-7777

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
01/05/2009
Last updated
08/24/2011
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