Individual
MR. JOHN DOUGLAS SNOWDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1861 MAIN ST, SNEEDVILLE, TN 37869-3645
(423) 733-2131
(423) 733-1055
Mailing address
303 NW 11TH ST, FAIRFIELD, IL 62837-1203
(618) 847-8243
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
634
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36672101
—
TN
01
—
4176065
BCBST
TN
Enumeration date
06/13/2005
Last updated
02/18/2019
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