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

Locust Grove Endo Center

Organization Ambulatory Surgical Clinic/Center · NPI 1023134640

Locust Grove Endo Center is an Ambulatory Surgical Clinic/Center in Locust Grove, Georgia. Registered with an NPI since 2007.

In the registry since
2007
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Practice location Address checks out

4865 Bill Gardner Pkwy
Locust Grove, GA 30248
Phone: (770) 692-0100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1023134640
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Aruna Prakash — Administrator · (770) 692-0100
NPI enumeratedMarch 22, 2007
Last updated in NPPESAugust 22, 2020
Mailing address4865 Bill Gardner Parkway, Locust Grove, GA 30248

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