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NPI Code Detail

MEDICARE: AVEREL B SNYDER M.D.

MEDICARE:   AVEREL B 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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician035769GA

Other Identifiers

General Provider Information

NPI Number : 1154387074
Entity Type Code : Individual
Provider Name (Legal Business Name) : AVEREL B SNYDER M.D.
Provider Business Mailing Address
First Line : P.O. BOX 70547
Second Line :
City : MARIETTA
State : GA
Zip : 30007-0547
Country : US
Telephone Number : 770-579-1894
Fax Number : 770-579-1899
Provider Business Practice Location Address
First Line : 5665 PEACHTREE DUNWOODY ROAD
Second Line : SUITE 200
City : ATLANTA
State : GA
Zip : 30342-1701
Country : US
Telephone Number : 404-252-6104
Fax Number : 404-257-1808
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2006
Last Update Date : 07/12/2011

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Directions to “ AVEREL B SNYDER M.D.” Practice Location

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