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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 |
