Provider Demographics
NPI:1871841544
Name:SPALDING ENDOSCOPY CENTER, LLC
Entity Type:Organization
Organization Name:SPALDING ENDOSCOPY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-888-7575
Mailing Address - Street 1:226 E COLLEGE ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:GRIFFIN
Mailing Address - State:GA
Mailing Address - Zip Code:30224-4348
Mailing Address - Country:US
Mailing Address - Phone:678-987-1490
Mailing Address - Fax:678-987-1491
Practice Address - Street 1:226 E COLLEGE ST
Practice Address - Street 2:SUITE A
Practice Address - City:GRIFFIN
Practice Address - State:GA
Practice Address - Zip Code:30224-4348
Practice Address - Country:US
Practice Address - Phone:678-987-1490
Practice Address - Fax:678-987-1491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-28
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical