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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