Organization
CLARKSVILLE ENDOSCOPY CENTER
Active
Other names
Edwin C Glassell
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN C GLASSELL MD (MD)
(931) 552-0180
Entity
Organization
Contact information
Practice address
132 HILLCREST DR, CLARKSVILLE, TN 37043-5000
(931) 552-0180
(931) 572-0915
Mailing address
132 HILLCREST DR, CLARKSVILLE, TN 37043-5000
(931) 552-0180
(931) 572-0915
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
0000000069
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3287635
—
TN
Enumeration date
09/07/2005
Last updated
06/13/2008
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