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

Southern Endoscopy Suite, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1215986609

Southern Endoscopy Suite, 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
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

763 Old Norcross Rd
Lawrenceville, GA 30045-4317
Phone: (678) 985-2000
Fax: (678) 985-1999
Show map & directions

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

Specialties & licences

Endoscopy Clinic/Center (primary) Taxonomy 261QE0800X · Licence 067-200 (GA)
Ambulatory Surgical Clinic/Center Taxonomy 261QA1903X

Record details

NPI number1215986609
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Kukler — Owner · (678) 985-2000
NPI enumeratedMay 10, 2006
Last updated in NPPESNovember 28, 2017
Mailing address763 Old Norcross Rd, Lawrenceville, GA 30045-4317

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