Provider Demographics
NPI:1265493407
Name:CRIDER, STEVEN SNOWDEN (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:SNOWDEN
Last Name:CRIDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:600 HOSPITAL DR
Mailing Address - Street 2:STE 9
Mailing Address - City:CLYDE
Mailing Address - State:NC
Mailing Address - Zip Code:28721-8024
Mailing Address - Country:US
Mailing Address - Phone:828-452-5042
Mailing Address - Fax:828-452-9225
Practice Address - Street 1:600 HOSPITAL DR
Practice Address - Street 2:SUITE 9
Practice Address - City:CLYDE
Practice Address - State:NC
Practice Address - Zip Code:28721-8024
Practice Address - Country:US
Practice Address - Phone:828-452-0331
Practice Address - Fax:828-456-6100
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC9800226207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1134NOtherBCBS-IND.
NC891134NMedicaid
NCD048DOtherMEDCOST
G69056Medicare UPIN
NCD048DOtherMEDCOST