G.i.endoscopy Center

NPI #1861596967 in Riverdale, Georgia

Provider Information

NPI Number
1861596967
Entity Type
Organization
Organization Name
G.i.endoscopy Center
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Sep 11, 2006
Last Updated
Mar 5, 2013

Practice Location

Address
6555 PROFESSIONAL PL
Address 2
SUITE B
State
Georgia
ZIP Code
30274-4903
Phone
(770) 996-5959

Authorized Official

Name
JAY R PRAKASH, M.D.
Title
PRESIDENT
Phone
(770) 996-5959

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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