OrganizationActive
Souder Gastro
NPI 1174356489 · Endoscopy Clinic/Center · Medina, TN
Provider details
- NPI number
- 1174356489
- Entity type
- Organization
- Primary specialty
- Endoscopy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bob Souder, President(731) 697-2229
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
150 Friendship Rd
Medina, TN 38355-8666
Phone: (731) 697-2229
Approximate (ZIP-level) locationGet directions
Mailing address
150 Friendship Rd
Medina, TN 38355-8666
Registry dates
- Enumerated
- 2024-08-22
- Last updated
- 2024-08-22
- Certified
- 2024-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.