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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