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Organization
COLUMBIA ASC NORTHWEST LLC
Active
Organization
COLUMBIA ASC NORTHWEST LLC
Active
Other names
Lake Murray Endoscopy Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP CLENDENIN (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
190 PARKRIDGE DR, SUITE 100, COLUMBIA, SC 29212-1747
(803) 407-6767
(803) 407-6757
Mailing address
1A BURTON HILLS BLVD, ATTN: L&C, NASHVILLE, TN 37215-6103
(803) 407-6767
(803) 407-6757
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ASF-076
SC
Other
Enumeration date
02/13/2006
Last updated
09/07/2023
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