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NPI Code Detail

MEDICARE: ENDOSCOPY CENTER OF KNOXVILLE LP

MEDICARE: ENDOSCOPY CENTER OF KNOXVILLE LP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA1903XAmbulatory Surgical Clinic/Center0000000024TN

General Provider Information

NPI Number : 1528047040
Entity Type Code : Organization
Provider Name (Legal Business Name) : ENDOSCOPY CENTER OF KNOXVILLE LP
Provider Business Mailing Address
First Line : 1A BURTON HILLS BLVD
Second Line : ATTN:L&C
City : NASHVILLE
State : TN
Zip : 37215-6187
Country : US
Telephone Number : 865-588-5121
Fax Number : 865-588-9410
Provider Business Practice Location Address
First Line : 1311 DOWELL SPRINGS BLVD
Second Line : SUITE 200
City : KNOXVILLE
State : TN
Zip : 37909-2454
Country : US
Telephone Number : 865-588-5121
Fax Number : 865-588-9410
Authorized Official
Title or Position : PRESIDENT
Name : MR. JEFFREY SNODGRASS
Credential :
Telephone Number : 615-665-1283
Provider Enumeration Date : 01/12/2006
Last Update Date : 04/19/2022

Similar Medicare Providers

1366422164 — DR. SCOTT LOUIS WILHOITE M.D.
Practice Location Address:
1311 DOWELL SPRINGS BLVD , SUITE 300
KNOXVILLE, TN
37909-2454
Practice Phone: 865-588-5121
Practice Fax:
1063487866 — BARRY VICTOR MAVES MD
Practice Location Address:
1311 DOWELL SPRINGS BLVD , SUITE 300
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Practice Fax: 865-588-2126
1407821200 — RAJ INDRU NARAYANI MD
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1311 DOWELL SPRINGS BLVD , STE 300
KNOXVILLE, TN
37909-2454
Practice Phone: 865-588-5121
Practice Fax: 865-588-2126
1689649485 — MARIA BONET NEWMAN MD
Practice Location Address:
1311 DOWELL SPRINGS BLVD , STE 300
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37909-2454
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Practice Fax: 865-588-2126
1720053523 — CHARLES O'CONNOR JR. MD
Practice Location Address:
1311 DOWELL SPRINGS BLVD , SUITE 300
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37909-2454
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Practice Fax: 865-588-2126
1275508095 — JOHN MICHAEL HAYDEK MD
Practice Location Address:
1311 DOWELL SPRINGS BLVD , STE 300
KNOXVILLE, TN
37909-2454
Practice Phone: 865-588-5121
Practice Fax: 865-588-2126

Directions to “ENDOSCOPY CENTER OF KNOXVILLE LP ” Practice Location

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