Organization
MARYVILLE ASC
Active
Other names
Tennessee Endoscopy Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
1706 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-6204
(865) 983-0073
(615) 234-1720
Mailing address
1A BURTON HILLS BLVD STE 300, ATTN:L&C, NASHVILLE, TN 37215-6153
(865) 983-0073
(615) 234-1720
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0000000001
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3287662
—
TN
Enumeration date
01/17/2006
Last updated
11/04/2025
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