MEDICARE: MARY ANN SNOWDEN 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	207V00000X	Obstetrics & Gynecology Physician	013524	TN

General Provider Information

NPI Number	:	1427407519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY ANN SNOWDEN M.D.

Provider Business Mailing Address
First Line	:	5909 ROBERT E LEE CT
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37215-5220
Country	:	US
Telephone Number	:	615-651-8893
Fax Number	:	615-651-8893

Provider Business Practice Location Address
First Line	:	5909 ROBERT E LEE CT
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37215-5220
Country	:	US
Telephone Number	:	615-651-8893
Fax Number	:	615-651-8893

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

Provider Enumeration Date	:	06/09/2016
Last Update Date	:	06/09/2016

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