Organization
CHATTANOOGA ENDOSCOPY ASC LLC
Active
Other names
Chattanooga Endoscopy Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
1501 RIVERSIDE DRIVE, SUITE 117, CHATTANOOGA, TN 37406-4332
(423) 698-3999
(423) 698-0903
Mailing address
1A BURTON HILLS BLVD, ATTN: L&C, NASHVILLE, TN 37215-6187
(615) 240-3741
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0000000098
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3288313
—
TN
01
—
490004372
RAILROAD MEDICARE
TN
Enumeration date
02/07/2006
Last updated
06/28/2022
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