Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gastrointestinal Diagnostic Endoscopy Woodstock, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1760778765

Gastrointestinal Diagnostic Endoscopy Woodstock, LLC is an Ambulatory Surgical Clinic/Center in Woodstock, Georgia. Licensed in Georgia. Registered with an NPI since 2011.

Licensed in
GA
In the registry since
2011
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

118 Mill St Ste 100
Woodstock, GA 30188-4880
Phone: (770) 226-9070
Fax: (770) 226-8863
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 028-451 (GA)
Endoscopy Clinic/Center Taxonomy 261QE0800X

Record details

NPI number1760778765
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracy Jones — Practice Administration · (678) 741-2317
Other names Town Lake Endoscopy Center
NPI enumeratedJune 28, 2011
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025
Mailing address2550 Windy Hill Rd Se Ste 302, Marietta, GA 30067-8655

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