SOUTHERN ENDOSCOPY SUITE, LLC
Ambulatory Health at Old Norcross Rd, Lawrenceville, GA

License number
Georgia 067-200
Category
Ambulatory Health
Type
Endoscopy
Owner
Name: MARK B. KUKLER D.O.,
Title: OWNER
Phone: (678) 985-2000
Address
Address
763 Old Norcross Rd, Lawrenceville, GA 30045
National Provider ID: 1215986609
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about SOUTHERN ENDOSCOPY SUITE, LLC at bizstanding.com

SOUTHERN ENDOSCOPY SUITE, LLC

763 Old Norcross Rd, Lawrenceville, GA 30046

Registration:
Mar 30, 2000
State ID:
0017520
Business type:
Domestic Limited Liability Company
Agent:
Scott W. Schorr, M.d,763 Old Norcross Rd, Lawrenceville, GA (Physical)

Ambulatory Health licenses in Georgia










Other Doctors licenses in Georgia