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Organization
NPI NOT ACTIVE
Active
Organization
NPI NOT ACTIVE
Active
Other names
DO NOT USE, NPI NOT IN USE
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
4230 HARDING PIKE STE 309B, NASHVILLE, TN 37205-2013
(615) 383-0165
Mailing address
1A BURTON HILLS BLVD, NASHVILLE, TN 37215-6187
(615) 263-4011
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/09/2020
Last updated
06/14/2023
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