| NPI | 1780686808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY SNODGRASS President 615-665-1283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PA 15861501) |
| Additional Taxonomies | 261QE0800X Clinic/Center, Endoscopy |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2022-12-14 |