Organization
LEWES DE ENDOSCOPY ASC LLC
Active
Other names
Seaside Endoscopy Pavilion
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
34444 KING STREET ROW, SUITE 4A, LEWES, DE 19958-4787
(302) 644-3852
(302) 644-3854
Mailing address
1A BURTON HILLS BLVD, ATTN: L&C, NASHVILLE, TN 37215-6103
(302) 644-3852
(302) 644-3854
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
NONE REQUIRED
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000022272261QA1903N
—
DE
Enumeration date
02/14/2006
Last updated
09/21/2022
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