Locust Grove Endo Center

NPI #1023134640 in Locust Grove, Georgia

Provider Information

NPI Number
1023134640
Entity Type
Organization
Organization Name
Locust Grove Endo Center
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Mar 22, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
4865 BILL GARDNER PARKWAY
State
Georgia
ZIP Code
30248
Phone
(770) 692-0100

Authorized Official

Name
ARUNA R PRAKASH, B.SC
Title
ADMINISTRATOR
Phone
(770) 692-0100

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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