Organization
GREENVILLE ASC LLC
Active
Other names
Endoscopy Center Of The Upstate
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
14 HAWTHORNE PARK CT, GREENVILLE, SC 29615-3194
(864) 331-0364
(864) 331-0370
Mailing address
1A BURTON HILLS BLVD, ATTN: L&C, NASHVILLE, TN 37215-6103
(864) 331-0364
(864) 331-0370
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ASF086
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ASC 053
—
SC
Enumeration date
02/10/2006
Last updated
05/03/2022
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