Healthcare Provider Details
I. General information
NPI: 1669501961
Provider Name (Legal Business Name): JAMES ROBERT SNAPPER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/04/2007
Last Update Date: 11/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2100 ERWIN RD
DURHAM NC
27710-0001
US
IV. Provider business mailing address
101 UKIAH LN
CHAPEL HILL NC
27514-1475
US
V. Phone/Fax
- Phone: 919-684-8111
- Fax:
- Phone: 919-932-5210
- Fax: 919-932-5210
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RP1001X |
| Taxonomy | Pulmonary Disease Physician |
| License Number | 9900684 |
| License Number State | NC |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RP1001X |
| Taxonomy | Pulmonary Disease Physician |
| License Number | 39374 |
| License Number State | MA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: