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

Northlake Endoscopy Center

Organization Ambulatory Surgical Clinic/Center · NPI 1871594499

Northlake Endoscopy Center is an Ambulatory Surgical Clinic/Center in Tucker, Georgia. Licensed in Georgia. Registered with an NPI since 2005.

Licensed in
GA
In the registry since
2005

Practice location Address checks out

1459 Montreal Rd Su 204
Tucker, GA 30084-6900
Phone: (770) 939-4721
Fax: (770) 939-1187
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 044047 (GA)

Record details

NPI number1871594499
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ralph Beton — President · (770) 939-4721
NPI enumeratedAugust 4, 2005
Last updated in NPPESMay 8, 2008
Mailing address1459 Montreal Rd, Su 204, Tucker, GA 30084-6900

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