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GI CARE FOR KIDS ENDOSCOPY CENTER NPI 1053559542


NPI Information

NPI: 1053559542
Provider Name: GI CARE FOR KIDS ENDOSCOPY CENTER
Classification: Clinic/Center - 261QE0800X
Entity Type: Organization

Specialization: Endoscopy

CLIA Number: 11D1105860

Address:
993 JOHNSON FERRY RD NE # D
SUITE 100
ATLANTA, GA
ZIP 30342
Phone: (404) 257-0799
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GI CARE FOR KIDS ENDOSCOPY CENTER is an endoscopy clinic center in Atlanta, GA. GI CARE FOR KIDS ENDOSCOPY CENTER NPI is 1053559542. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

993 JOHNSON FERRY RD NE # D
SUITE 100
ATLANTA, GA
ZIP 30342-620
Phone: (404) 257-0799
Fax: (404) 503-2280

The provider's authorized official is Lauri Gebhart .
The authorized official title is Administrator and has the following contact phone number (404) 503-2271.

The CLIA number assigned to this NPI record is 11D1105860 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/22/2009 and was last updated on 1/30/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080P0206XPediatricsPediatric GastroenterologyNo
2261QE0800XClinic/CenterEndoscopyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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