Doctor Name: | DR. RICHARD GALE SNYDER |
NPI Number: | 1376711382 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 11701 |
Business Practice Address: | 3816 Highway 17 S North Myrtle Beach, SC - 295825069 |
Business Phone Number: | 8432721411 |
Business Fax Number: | 8432722130 |
Mailing Address: | 3816 Highway 17 S, NORTH MYRTLE BEACH |
State: | SC |
Postal Code: | 295825069 |
Phone Number: | 8432721411 |
Fax Number: | 8432722130 |
NPI Enumeration Date: | 02/12/2008 |
NPI Last Update Date: | 10/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 11701 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |