| Doctor Name: | MRS. DANIELLE W SNODGRASS |
| NPI Number: | 1124356647 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RRA |
| License Number: | 321611 |
| Business Practice Address: | 1514 Vernon Rd Lagrange, GA - 302404131 |
| Business Phone Number: | 7068453835 |
| Business Fax Number: | |
| Mailing Address: | 106 Sweetwater Dr, LAGRANGE |
| State: | GA |
| Postal Code: | 302407559 |
| Phone Number: | 7068453835 |
| Fax Number: | |
| NPI Enumeration Date: | 11/20/2009 |
| NPI Last Update Date: | 11/20/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471C3402X |
| License Number: | 321611 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Radiography |
| Taxonomy Definition: | |