# WILLIAM E. SNELL DO PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kenmar Family Practice, William E. Snell D.O. , P.C.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659593077
- **Authorized official:** DR. WILLIAM EDWARD SNELL D.O. (PRESIDENT)
- **Authorized official phone:** (770) 590-0585

## Contact information

- **Practice address:** 880 CANTON ROAD, SUITE 300, MARIETTA, GA 30060-7283
- **Practice address phone:** (770) 590-0585
- **Practice address fax:** (770) 428-4087
- **Mailing address:** 880 CANTON ROAD, SUITE 300, MARIETTA, GA 30060-7283
- **Mailing address phone:** (770) 590-0585
- **Mailing address fax:** (770) 428-4087

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 024495 | GA | Yes |

## Other

- **Enumeration date:** 05/03/2007
- **Last updated:** 01/19/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000273391A | — | GA |
| 01 | — | DG6106 | RAILROAD MEDICARE | GA |
| 01 | — | GRP4464 | MEDICARE | GA |