Healthcare Provider Details

I. General information

NPI: 1295765345
Provider Name (Legal Business Name): HOWARD SNYDER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 10/03/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

218 S HERLONG AVE
ROCK HILL SC
29732-1158
US

IV. Provider business mailing address

218 S HERLONG AVE
ROCK HILL SC
29732-1158
US

V. Phone/Fax

Practice location:
  • Phone: 803-327-2828
  • Fax: 803-329-1173
Mailing address:
  • Phone: 803-327-2828
  • Fax: 803-329-1173

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number108680
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: