# RALEIGH NC ENDOSCOPY ASC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Raleigh Endoscopy Center-Holly Springs
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114734506
- **Authorized official:** KATHERINE RENEE JUDKINS (VICE PRESIDENT)
- **Authorized official phone:** (615) 240-3770

## Contact information

- **Practice address:** 2061 RALPH STEPHENS RD, HOLLY SPRINGS, NC 27540-8881
- **Practice address phone:** (919) 585-4710
- **Practice address fax:** (919) 930-8609
- **Mailing address:** 1A BURTON HILLS BLVD STE 300, ATTN: L&C DEPT, NASHVILLE, TN 37215-6153
- **Mailing address phone:** (919) 791-2060
- **Mailing address fax:** (615) 234-1720

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/18/2024
- **Last updated:** 02/13/2026