Provider Demographics
NPI:1639177082
Name:SNOW, DAVID H (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:H
Last Name:SNOW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:27056 ANDREW JACKSON HWY E
Mailing Address - Street 2:SUITE 2
Mailing Address - City:DELCO
Mailing Address - State:NC
Mailing Address - Zip Code:28436-8200
Mailing Address - Country:US
Mailing Address - Phone:910-679-3212
Mailing Address - Fax:877-718-8984
Practice Address - Street 1:27056 ANDREW JACKSON HWY E
Practice Address - Street 2:SUITE 2
Practice Address - City:DELCO
Practice Address - State:NC
Practice Address - Zip Code:28436-8200
Practice Address - Country:US
Practice Address - Phone:910-679-3212
Practice Address - Fax:877-718-8984
Is Sole Proprietor?:No
Enumeration Date:2005-07-11
Last Update Date:2015-02-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC9801505207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8911630Medicaid
2188056Medicare PIN
F51103Medicare UPIN
NC2312411Medicare PIN
NC8911630Medicaid
NCF51103Medicare UPIN