Panola Endoscopy Center Llc

NPI 1275871147 - Clinic/Center - 261QE0800X

NPI Details
NPI 1275871147
Enumeration Date 01/28/2013
Last Updated 01/28/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name JANA JANA
Position ADMINISTRATOR
Phone (770) 817-0224
Fax (770) 817-0228
Practice Location
5403 HILLANDALE PARK COURT
SUITE A
LITHONIA GA, 30058, US
Phone (770) 817-0224
Fax (770) 817-0228
Business Location
550 PEACHTREE ST NE
SUITE 1600
ATLANTA GA, 30308-2208, US
Phone (404) 888-7575
Fax (404) 885-7777
Toxanomy
Taxonomy Code 261QE0800X
License State
License Number
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According to our database, Panola Endoscopy Center Llc NPI is 1275871147, taxonomy code is 261QE0800X Panola Endoscopy Center Llc physically located at 5403 Hillandale Park Court, Lithonia GA, 30058. NPI Number 1033115704 has the healthcare provider type.

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1275871147 NPI number is provided on an as is basis without warranty of any kind. 1275871147 is maintained by the National Plan & Provider Enumeration System. The contents of Panola Endoscopy Center Llc are for informational purposes only.