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NORTHLAKE ENDOSCOPY CENTER

Surgery Yellow Pages

Tucker, Georgia

Provider NPI: 1871594499

Organization Information:
Organization Name:  NORTHLAKE ENDOSCOPY CENTER


Practice Location:
1459 MONTREAL RD SU 204 TUCKER, GA 30084 US
Tel: 770-939-4721  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QA1903XAmbulatory Health Care Facilities
Clinic/Center
Ambulatory Surgical
GA044047

Other Provider Identifiers:

IssuerNumberStateType
000468652AGA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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