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

Northeast Endoscopy Center, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1578531208

Northeast Endoscopy Center, LLC is an Ambulatory Surgical Clinic/Center in Lawrenceville, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
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

721 Wellness Way Ste 110
Lawrenceville, GA 30046-3304
Phone: (678) 879-0999
Fax: (678) 578-6873
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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 · Licence 067329 (GA)

Record details

NPI number1578531208
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Tanner — Director · (678) 879-0999
NPI enumeratedMarch 9, 2006
Last updated in NPPESAugust 7, 2014
Mailing address721 Wellness Way, Ste 110, Lawrenceville, GA 30046-3304

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