Provider Type Icon

WILLIAM E. SNELL DO PC NPI 1659593077


NPI Information

NPI: 1659593077
Provider Name: WILLIAM E. SNELL DO PC

Doing Business As: KENMAR FAMILY PRACTICE

Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 11D0708081

Address:
880 CANTON ROAD
SUITE 300
MARIETTA, GA
ZIP 30060
Phone: (770) 590-0585
Get Directions

WILLIAM E. SNELL DO PC is a general practice in Marietta, GA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee WILLIAM E. SNELL DO PC NPI is 1659593077. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Kenmar Family Practice.

The provider's business location address is:

880 CANTON ROAD
SUITE 300
MARIETTA, GA
ZIP 30060-283
Phone: (770) 590-0585
Fax: (770) 428-4087

The provider's authorized official is William Edward Snell .
The authorized official title is President and has the following contact phone number (770) 590-0585.

The CLIA number assigned to this NPI record is 11D0708081 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 1/19/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral Practice024495GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000273391AMEDICAIDGEORGIA
2GRP4464OTHERGEORGIAMEDICARE
3DG6106OTHERGEORGIARAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.