Healthcare Provider Details

I. General information

NPI: 1649437609
Provider Name (Legal Business Name): SNAPFINGER WOODS PEDIATRIC ASSOCIATES P C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2008
Last Update Date: 05/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5008 SNAPFINGER WOODS DR
DECATUR GA
30035-4018
US

IV. Provider business mailing address

5008 SNAPFINGER WOODS DR
DECATUR GA
30035-4018
US

V. Phone/Fax

Practice location:
  • Phone: 770-981-0210
  • Fax: 770-981-0280
Mailing address:
  • Phone: 770-981-0210
  • Fax: 770-981-0280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSEPH M ROSENFELD
Title or Position: PRESIDENT
Credential: M D
Phone: 770-981-0210