Provider Demographics
NPI:1508055757
Name:HOWARD J SNAPPER, PC
Entity Type:Organization
Organization Name:HOWARD J SNAPPER, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:SNAPPER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-295-9501
Mailing Address - Street 1:248 WEBNEY DR
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30068-3860
Mailing Address - Country:US
Mailing Address - Phone:770-295-9501
Mailing Address - Fax:
Practice Address - Street 1:2001 PROFESSIONAL WAY
Practice Address - Street 2:SUITE 220
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30188-6442
Practice Address - Country:US
Practice Address - Phone:770-295-9501
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-23
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA038970207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Multi-Specialty
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGRP511G700204OtherMEDICARE GROUP #
GAGRP511G700204OtherMEDICARE GROUP #
GAGRP511G700204OtherMEDICARE GROUP #