Provider Demographics
NPI:1023142627
Name:SNODDY, JANET ELIZABETH (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:ELIZABETH
Last Name:SNODDY
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1880 PARTRIDGE RD NW
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37312-2136
Mailing Address - Country:US
Mailing Address - Phone:423-476-1655
Mailing Address - Fax:423-336-4745
Practice Address - Street 1:1880 PARTRIDGE RD NW
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37312-2136
Practice Address - Country:US
Practice Address - Phone:423-476-1655
Practice Address - Fax:423-336-4745
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD13437174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNBS1369861OtherDEA
TNB59551Medicare UPIN