Ej Snyder Medical, LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

55703 Issued in GA

Legal business name

EJ SNYDER MEDICAL, LLC

Practice address

525 Westpark Dr
Suite 100
Peachtree City, GA 30269-1575

Phone

(770) 487-0029

Fax

(770) 692-0116

NPI assigned

Dec 10, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Earl Jay Snyder, MD

Title

Owner

Phone

(770) 487-0029

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291939200000",
    "number": "1366745549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 WESTPARK DR",
            "address_2": "SUITE 100",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691575",
            "telephone_number": "770-487-0029",
            "fax_number": "770-692-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 WESTPARK DR",
            "address_2": "SUITE 100",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691575",
            "telephone_number": "770-487-0029",
            "fax_number": "770-692-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EJ SNYDER MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-10",
        "last_updated": "2010-12-10",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-487-0029",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "55703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "772905252C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vici Lynn Eckhart, MSW LCSW
• Edens Health Group Lawrenceville
• Christopher Alton Edens, MD
• Lashanda L. Edwards, LCSW
• Ann E Eggert, M.D.
• Nancy P Elward, B.SC.PHM
• Jessika Marie Epperson
• Sarah Elizabeth Epps, M. ED.
• Esp Wellness Training and Supervision
• Daryl Sidney Eulenfeld, M.ED, LPC, NCC

• Interventional Pain Medicine Physician in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Interventional Pain Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.