Provider Demographics
NPI:1700397940
Name:CHEAHA AREA REGIONAL EMERGENCY SPECIALIST
Entity Type:Organization
Organization Name:CHEAHA AREA REGIONAL EMERGENCY SPECIALIST
Other - Org Name:C.A.R.E.S.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:V
Authorized Official - Last Name:SNEAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-741-1339
Mailing Address - Street 1:1325 QUINTARD AVE
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36201
Mailing Address - Country:US
Mailing Address - Phone:256-741-1339
Mailing Address - Fax:256-741-1356
Practice Address - Street 1:1219 ALMON ST
Practice Address - Street 2:SUITE C
Practice Address - City:HEFLIN
Practice Address - State:AL
Practice Address - Zip Code:36264
Practice Address - Country:US
Practice Address - Phone:256-963-9441
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-16
Last Update Date:2017-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty