Southern Crescent Endoscopy Suite, Pc in Stockbridge - Endoscopy
Southern Crescent Endoscopy Suite, Pc - NPI 1245276195
Southern Crescent Endoscopy Suite, Pc is a Endoscopy in Stockbridge, Georgia. Southern Crescent Endoscopy Suite, Pc practices all healthcare services and medical treatments related to Endoscopy. The NPI Number for Southern Crescent Endoscopy Suite, Pc is 1245276195. The last update date is 2022-06-28.
Southern Crescent Endoscopy Suite, Pc's current location address is 150 N Park Trl Ste A, Stockbridge, Georgia. You can contact this provider via phone number 7705070909 and fax number 7709078448. The mailing address for Southern Crescent Endoscopy Suite, Pc is 150 N Park Trl Ste A, Stockbridge, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern Crescent Endoscopy Suite, Pc |
|---|---|
| Address | 150 N Park Trl Ste A, Stockbridge, Georgia |
| Phone Number | 7705070909 |
| Fax Number | 7709078448 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF MEDI |
|---|---|
| Authorized Official Name | Suh Whun Jung |
| Credentials | MD |
| Telephone Number | 4048887575 |
NPI Number Detail
| NPI Number | 1245276195 |
|---|---|
| Provider Enumeration Date | 2006-06-21 |
| Last Updated Date | 2022-06-28 |
Provider Mailing Address Detail
| Address | 150 N Park Trl Ste A |
|---|---|
| City | Stockbridge |
| State | Georgia (GA) |
| Post Code | 302817372 |
| Phone Number | 7705070909 |
| Fax Number | 7709078448 |
Provider's Primary Taxonomy Detail
| Speciality | Endoscopy |
|---|---|
| Taxonomy | 261Qe0800X |
|
Definition: Examines internal organs and cavities using an endoscope inserted through small incisions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00779402A | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Southern Crescent Endoscopy Suite, Pc by the Centers for Medicare & Medicaid Services?
The Southern Crescent Endoscopy Suite, Pc has been assigned the NPI (National Provider Identifier) 1245276195 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Southern Crescent Endoscopy Suite, Pc is geographically located?
The Southern Crescent Endoscopy Suite, Pc is physically situated at the following location: 150 N Park Trl Ste A, Stockbridge, GA, 302817372.
What is the Southern Crescent Endoscopy Suite, Pc's area of specialization and corresponding taxonomy classification?
The Southern Crescent Endoscopy Suite, Pc's specialty field is Endoscopy, and it falls under the taxonomy code 261Qe0800X, which categorizes healthcare providers based on their specialties.
On what date did the Southern Crescent Endoscopy Suite, Pc receive the assignment of its 1245276195 from the Centers for Medicare & Medicaid Services?
The Southern Crescent Endoscopy Suite, Pc was issued its 1245276195 by the Centers for Medicare & Medicaid Services on 2006-06-21.
When was the information pertaining to Southern Crescent Endoscopy Suite, Pc most recently updated or revised?
The details related to Southern Crescent Endoscopy Suite, Pc, including its address, specialty, and other relevant information, were last updated or revised on 2022-06-28.