Provider Demographics
NPI:1558789586
Name:SNOW, KATHRYN SHAIA (MD, MHA)
Entity Type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:SHAIA
Last Name:SNOW
Suffix:
Gender:F
Credentials:MD, MHA
Other - Prefix:
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Mailing Address - Street 1:5500 FRONT ST STE 410
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29486-8140
Mailing Address - Country:US
Mailing Address - Phone:843-881-7400
Mailing Address - Fax:843-881-7444
Practice Address - Street 1:5500 FRONT ST STE 410
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29486-8140
Practice Address - Country:US
Practice Address - Phone:843-881-7400
Practice Address - Fax:843-881-7444
Is Sole Proprietor?:No
Enumeration Date:2014-04-07
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC85588207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology