Northlake Endoscopy Center

NPI #1871594499 in Tucker, Georgia

Provider Information

NPI Number
1871594499
Entity Type
Organization
Organization Name
Northlake Endoscopy Center
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Aug 4, 2005
Last Updated
May 8, 2008

Practice Location

Address
1459 MONTREAL RD
Address 2
SU 204
City
Tucker
State
Georgia
ZIP Code
30084-6900
Phone
(770) 939-4721

Authorized Official

Name
DR. RALPH ROBERT BETON, MD
Title
PRESIDENT
Phone
(770) 939-4721

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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