Provider Demographics
NPI:1649437609
Name:SNAPFINGER WOODS PEDIATRIC ASSOCIATES P C
Entity type:Organization
Organization Name:SNAPFINGER WOODS PEDIATRIC ASSOCIATES P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:M
Authorized Official - Last Name:ROSENFELD
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:770-981-0210
Mailing Address - Street 1:5008 SNAPFINGER WOODS DR
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30035-4018
Mailing Address - Country:US
Mailing Address - Phone:770-981-0210
Mailing Address - Fax:770-981-0280
Practice Address - Street 1:5008 SNAPFINGER WOODS DR
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30035-4018
Practice Address - Country:US
Practice Address - Phone:770-981-0210
Practice Address - Fax:770-981-0280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-19
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty