Southern Endoscopy Suite, LLC
NPI #1215986609 in Lawrenceville, Georgia
Provider Information
- NPI Number
- 1215986609
- Entity Type
- Organization
- Organization Name
- Southern Endoscopy Suite, LLC
- Primary Specialty
- Clinic/Center - Endoscopy
- Enumeration Date
- May 10, 2006
- Last Updated
- Nov 28, 2017
Practice Location
- Address
- 763 OLD NORCROSS RD
- City
- Lawrenceville
- State
- Georgia
- ZIP Code
- 30045-4317
- Phone
- (678) 985-2000
Authorized Official
- Name
- MARK B. KUKLER, D.O.,
- Title
- OWNER
- Phone
- (678) 985-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
| Clinic/Center - Endoscopy — Endoscopy |
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