Organization
CARROLL COUNTY DIGESTIVE DISEASE CENTER, LLC
Active
Organization
CARROLL COUNTY DIGESTIVE DISEASE CENTER, LLC
Active
Other names
Carroll County Digestive Disease Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
216B WASHINGTON HEIGHTS MED CTR, WESTMINSTER, MD 21157-5633
(410) 857-5113
(410) 840-8344
Mailing address
1A BURTON HILLS BLVD # L&C, NASHVILLE, TN 37215-6187
(615) 240-3820
(615) 234-1720
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
A1245
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0634649
CIGNA
MD
01
—
0865292
AETNA HMO
MD
01
—
115559
AMERIGROUP
MD
01
—
250798
MAMSI
MD
01
—
47928
COVENTRY HEALTHCARE OF DE
MD
01
—
5624559
AETNA
MD
01
—
57281
JOHNS HOPKINS EHP & PP
MD
01
—
583381-01
CAREFIRST BLUECROSS BLUES
MD
05
—
6013104 00
—
MD
01
—
68-00074
UNITEDHEALTHCARE
MD
01
—
NE4
BLUE CHOICE
MD
01
—
ZY44
CAREFIRST BCBS SECONDARY
MD
Enumeration date
01/26/2006
Last updated
08/25/2022
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