Provider Demographics
NPI:1265432983
Name:SNIDER, ALISON TOWNSEND (MD)
Entity type:Individual
Prefix:DR
First Name:ALISON
Middle Name:TOWNSEND
Last Name:SNIDER
Suffix:
Gender:F
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:PO BOX 2005
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27204-2005
Mailing Address - Country:US
Mailing Address - Phone:336-625-1172
Mailing Address - Fax:336-625-6434
Practice Address - Street 1:900 OLD WINSTON RD
Practice Address - Street 2:SUITE 222
Practice Address - City:KERNERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27284-8119
Practice Address - Country:US
Practice Address - Phone:336-992-1234
Practice Address - Fax:336-993-9963
Is Sole Proprietor?:No
Enumeration Date:2005-07-22
Last Update Date:2019-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200300198207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891367MMedicaid
NC2027199AMedicare ID - Type UnspecifiedINIDIVIDUAL PROVIDER NUMB
NC891367MMedicaid