Healthcare Provider Details

I. General information

NPI: 1356323125
Provider Name (Legal Business Name): HOWARD CAREY SNIDER JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/17/2005
Last Update Date: 04/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4749 BERRY BLVD
MONTGOMERY AL
36106-3079
US

IV. Provider business mailing address

301 BROWN SPRINGS RD
MONTGOMERY AL
36117-7005
US

V. Phone/Fax

Practice location:
  • Phone: 334-271-0280
  • Fax: 334-271-1918
Mailing address:
  • Phone: 334-273-4508
  • Fax: 334-273-4290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number5301
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: