Locust Grove Endo Center

NPI 1023134640 - Clinic/Center - 261QA1903X

NPI Details
NPI 1023134640
Enumeration Date 03/22/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ARUNA R ARUNA
Position ADMINISTRATOR
Phone (770) 692-0100
Fax
Practice Location
4865 BILL GARDNER PARKWAY
LOCUST GROVE GA, 30248, US
Phone (770) 692-0100
Fax
Business Location
4865 BILL GARDNER PARKWAY
LOCUST GROVE GA, 30248, US
Phone (770) 692-0100
Fax
Toxanomy
Taxonomy Code 261QA1903X
License State
License Number
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According to our database, Locust Grove Endo Center NPI is 1023134640, taxonomy code is 261QA1903X Locust Grove Endo Center physically located at 4865 Bill Gardner Parkway, Locust Grove GA, 30248. NPI Number 1033115704 has the healthcare provider type.

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1023134640 NPI number is provided on an as is basis without warranty of any kind. 1023134640 is maintained by the National Plan & Provider Enumeration System. The contents of Locust Grove Endo Center are for informational purposes only.