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1023134640
LOCUST GROVE ENDO CENTER
LOCUST GROVE, GA
NPI
1023134640
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Entity Type
Organization
Authorized Contact
ARUNA R PRAKASH
Administrator
770-692-0100
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2007-03-22
Last Update Date
2020-08-22
Business Address
LOCUST GROVE ENDO CENTER
4865 BILL GARDNER PARKWAY
LOCUST GROVE, GA 30248
Phone number: 770-692-0100
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Mailing Address
LOCUST GROVE ENDO CENTER
4865 BILL GARDNER PARKWAY
LOCUST GROVE, GA 30248
Phone number: 770-692-0100
Copy
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