WESTSIDE ENDOSCOPY CENTER
Ambulatory Health at Medical Park Dr, Austell, GA

License number
Georgia 033269
Category
Ambulatory Health
Type
Endoscopy
Owner
Name: MR. DEVON SPENCER
Title: PRACTICE MANAGER
Phone: (770) 941-4810
Address
Address
3825 Medical Park Dr SUITE 300, Austell, GA 30106
National Provider ID: 1487647483
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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WESTSIDE ENDOSCOPY CENTER PC

Austell, GA

Industry:
Medical Doctor's Office
Registration:
Jan 28, 2003
Addresses:
3825 Medical Park Dr SUITE 300, Austell, GA 30106 (Physical)
3825 Med Park Dr, Austell, GA 30106
State ID:
0304730
Business type:
Domestic Professional Corporation
Secretarys:
Jasmine Jeffers, M.d (CEO), 1896 Tristan Dr, Smyrna, GA 30080 (Physical),Devon Spencer (CFO, Practice Manager), 1896 Tristan Dr, Smyrna, GA 30080 (Physical),Jasmine G. Jeffers (Principal),...

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