MEDICARE: DR. DAVID CLAUDE SNYDER 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
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	033711	GA
2	207RP1001X	Pulmonary Disease Physician	033711	GA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	290007341	OTHER	GA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	4609414	OTHER		AETNA
3	4800003	OTHER		UNITED HEALTHCARE
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	1053395145	OTHER	GA	NPI
6	498653	OTHER	GA	BLUE CROSS BLUE SHIELD
7	0277263008	OTHER		CIGNA
8	2999939	OTHER		GHI
9	0932200001	OTHER	GA	WORKERS COMPENSATION
10	5935	OTHER	GA	KAISER

General Provider Information

NPI Number	:	1053395145
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID CLAUDE SNYDER M.D.

Provider Business Mailing Address
First Line	:	2665 N DECATUR RD
Second Line	:	SUITE 430
City	:	DECATUR
State	:	GA
Zip	:	30033-6145
Country	:	US
Telephone Number	:	404-294-4018
Fax Number	:	404-294-1359

Provider Business Practice Location Address
First Line	:	2665 N DECATUR RD
Second Line	:	SUITE 430
City	:	DECATUR
State	:	GA
Zip	:	30033-6145
Country	:	US
Telephone Number	:	404-294-4018
Fax Number	:	404-294-1359

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2005
Last Update Date	:	02/03/2010

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