SOUTHERN ENDOSCOPY SUITE, LLC is an endoscopy clinic center in Lawrenceville, GA. SOUTHERN ENDOSCOPY SUITE, LLC NPI is 1215986609. The provider is registered as an organization entity type.
The provider's business location address is:
763 OLD NORCROSS RD
LAWRENCEVILLE, GA
ZIP 30045-317
Phone: (678) 985-2000
Fax: (678) 985-1999
The provider's authorized official is Mark B. Kukler .
The authorized official title is Owner and has the following contact phone number (678) 985-2000.
The CLIA number assigned to this NPI record is 11D0970857 - independent with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/10/2006 and was last updated on 11/28/2017.