Healthcare Provider Details

I. General information

NPI: 1992164032
Provider Name (Legal Business Name): HALL COUNTY ENDOSCOPY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2016
Last Update Date: 09/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1955 TEXTILE WAY
GAINESVILLE GA
30504
US

IV. Provider business mailing address

PO BOX 537051
ATLANTA GA
30353
US

V. Phone/Fax

Practice location:
  • Phone: 404-888-7575
  • Fax:
Mailing address:
  • Phone: 404-881-1094
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0800X
TaxonomyEndoscopy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. STEVEN J MORRIS
Title or Position: CEO
Credential: M.D.
Phone: 404-881-1094