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Organization

WILLIAM E. SNELL DO PC

Active
Other names
Kenmar Family Practice, William E. Snell D.O. , P.C.
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM EDWARD SNELL D.O. (PRESIDENT)
(770) 590-0585
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
024495
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000273391A
GA
01
DG6106
RAILROAD MEDICARE
GA
01
GRP4464
MEDICARE
GA
Enumeration date
05/03/2007
Last updated
01/19/2023
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