Provider Demographics
NPI:1164471322
Name:SNOWMAN, PATRICK (MD)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:
Last Name:SNOWMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 HOSPITAL CENTER BLVD
Mailing Address - Street 2:HILTON HEAD REGIONAL MEDICAL CENTER
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29926
Mailing Address - Country:US
Mailing Address - Phone:843-689-8281
Mailing Address - Fax:843-689-8246
Practice Address - Street 1:25 HOSPITAL CENTER BLVD
Practice Address - Street 2:HILTON HEAD REGIONAL MEDICAL CENTER
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29926-2738
Practice Address - Country:US
Practice Address - Phone:843-689-8281
Practice Address - Fax:843-689-8246
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC26887207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC268873Medicaid
GA949835970AMedicaid
SCG785899075Medicare PIN
GA949835970AMedicaid
SC268873Medicaid
SCP00143153Medicare PIN