Southern Crescent Endoscopy Suite, Pc

LBN: Southern Crescent Endoscopy Suite, Pc
Southern Crescent Endoscopy Suite, Pc is an health care organization with primary practice located at 150 N Park Trl Ste A , Stockbridge GA 30281-7372. The organization recently has only one registered license in Ambulatory Health Care Facilities / Endoscopy, which is considered as the primary health care specialty. Southern Crescent Endoscopy Suite, Pc can be contacted via phone (770) 507-0909, or through Suh, Jung Whun via phone (404) 888-7575.

Contact Information

Primary practice address
150 N Park Trl Ste A Stockbridge GA 30281-7372
Phone: (770) 507-0909
Fax: (770) 907-8448
Website:
Map and Directions
Authorized official contact:
Name: Suh, Jung Whun Doctor of Medicine (MD)
Phone: (404) 888-7575

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Endoscopy 261QE0800X

Profile Details

NPI number 1245276195
LBN Legal business name Southern Crescent Endoscopy Suite, Pc
DBA Doing business as
Authorized official Suh, Jung Whun Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2006
Last updated Jun 28th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245276195 NPPES
Georgia MEDICAID 00779402A

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