Organization
COLUMBIA TN ENDOSCOPY ASC LLC
Active
Other names
Mid-South Endoscopy Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
725 S JAMES M CAMPBELL BLVD, COLUMBIA, TN 38401-5962
(931) 381-7818
(931) 381-5625
Mailing address
1A BURTON HILLS BLVD, ATTN: L&C, NASHVILLE, TN 37215-6103
(931) 381-7818
(931) 381-5625
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0000000032
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3287250
—
TN
01
—
490005588
RAILROAD MEDICARE
TN
Enumeration date
02/10/2006
Last updated
08/12/2021
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