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James Snyder

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NPI Number Detailed Information

Provider Information:

Name: James Snyder
Gender: M
Provider License Number If Given: 16461

NPI Information:

NPI: 1851385355
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 8/31/2020

Provider Business Mailing Address:

Address: PO BOX 19305
Charlotte, NC 28219
Phone Number:
Fax Number:

Provider Business Practice Location Address:

Address: 1415 PHYSICIANS DR
Wilmington, NC 28401
Phone Number: 9106629500
Fax Number:

Provider Taxonomy:

Primary: 207RC0000X
Secondary (if any):
State: NC

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