| NPI | 1386618783 |
|---|---|
| Doing Business As | SEASIDE ENDOSCOPY PAVILION |
| Entity Type | Organization |
| Authorized Contact | JEFFREY SNODGRASS President 615-665-1283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: DE none required) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2022-09-21 |