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EASTSIDE ENDOSCOPY CENTER LLC
Adult Day Care
OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
CONYERS, GA
Licensed since
2017
Rate
—
Federal identifiers
NPI registry number1053846592
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients158
RevalidationDue 2023-10-31
Authorized official
NameKARIM SHAKOOR
TitleMEDICAL DIRECTOR
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