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

Locust Grove Endo Center

Organization Ambulatory Surgical Clinic/Center · NPI 1023134640

Locust Grove Endo Center provides Ambulatory Surgical Clinic/Center services in Locust Grove, Georgia. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

4865 Bill Gardner Pkwy
Locust Grove, GA 30248
Phone: (770) 692-0100
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

Record details

NPI number1023134640
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Aruna Prakash — Administrator · (770) 692-0100
NPI enumeratedMarch 22, 2007
Last updated in NPPESAugust 22, 2020
Mailing address4865 Bill Gardner Parkway, Locust Grove, GA 30248

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