Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | TRN16010 | FL |
N | 111NI0900X | Internist | TRN16010 | FL |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 080897 | GA |
NPI | 1699069088 |
---|---|
Provider Name | David F Snipelisky |
First Address | Marietta, GA 30060-1054 |
Second Address | Marietta, GA 30060 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2011 |
Last Update Date | 27/10/2020 |