Healthcare Provider Details

I. General information

NPI: 1962467142
Provider Name (Legal Business Name): BILLIE KAY SNELL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/19/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 BAY ST
GADSDEN AL
35901-5181
US

IV. Provider business mailing address

501 BAY ST
GADSDEN AL
35901-5181
US

V. Phone/Fax

Practice location:
  • Phone: 256-543-2894
  • Fax: 256-543-8185
Mailing address:
  • Phone: 256-543-2894
  • Fax: 256-543-8185

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number12914
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: