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NPI Code Detail

MEDICARE: DR. JENNIFER BOSWELL SNOWDEN M.D.

MEDICARE:  DR. JENNIFER BOSWELL SNOWDEN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician043003GA

General Provider Information

NPI Number : 1720067093
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIFER BOSWELL SNOWDEN M.D.
Provider Business Mailing Address
First Line : 1117 PERIMETER CTR
Second Line : N404
City : ATLANTA
State : GA
Zip : 30338-5451
Country : US
Telephone Number : 770-817-4117
Fax Number :
Provider Business Practice Location Address
First Line : 1117 PERIMETER CTR
Second Line : N404
City : ATLANTA
State : GA
Zip : 30338-5451
Country : US
Telephone Number : 770-817-4117
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2006
Last Update Date : 07/02/2014

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Directions to “ DR. JENNIFER BOSWELL SNOWDEN M.D.” Practice Location

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