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Organization
RALEIGH NC ENDOSCOPY ASC LLC
Active
Organization
RALEIGH NC ENDOSCOPY ASC LLC
Active
Other names
Raleigh Endoscopy Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
4225 MACON POND RD STE 100, RALEIGH, NC 27607-6385
(919) 791-2060
(919) 791-2061
Mailing address
1A BURTON HILLS BLVD STE 300, NASHVILLE, TN 37215-6153
(615) 263-4011
(615) 234-1720
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
AS0056
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409934
—
NC
01
—
P00149328
RAILROAD MEDICARE
NC
Enumeration date
02/17/2006
Last updated
08/06/2026
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