Wellbrook Endoscopy Center, Pc

NPI 1518009430 - Clinic/Center - 261QA1903X

NPI Details
NPI 1518009430
Enumeration Date 02/14/2007
Last Updated 03/11/2015
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name FRED A FRED
Position CEO
Phone (770) 922-0505
Fax (678) 625-5137
Practice Location
1269 WELLBROOK CIR NE
CONYERS GA, 30012-3873, US
Phone (770) 922-0505
Fax (678) 625-5137
Business Location
7229 WHEAT ST NE
COVINGTON GA, 30014-1566, US
Phone (678) 625-5132
Fax (678) 625-5137
Toxanomy
Taxonomy Code 261QA1903X
License State Georgia
License Number 4034
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According to our database, Wellbrook Endoscopy Center, Pc NPI is 1518009430, taxonomy code is 261QA1903X and license number is 4034, license state is located at Georgia. Wellbrook Endoscopy Center, Pc physically located at 1269 Wellbrook Cir Ne, Conyers GA, 30012-3873. NPI Number 1033115704 has the healthcare provider type.

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1518009430 NPI number is provided on an as is basis without warranty of any kind. 1518009430 is maintained by the National Plan & Provider Enumeration System. The contents of Wellbrook Endoscopy Center, Pc are for informational purposes only.