MEDICARE: CORNELIA J SNOW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376K00000X	Nurse's Aide	049018	NC

General Provider Information

NPI Number	:	1194522979
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CORNELIA J SNOW

Provider Business Mailing Address
First Line	:	4320 YUMA RD
Second Line	:
City	:	WILSON
State	:	NC
Zip	:	27893-8839
Country	:	US
Telephone Number	:	252-360-6859
Fax Number	:

Provider Business Practice Location Address
First Line	:	4320 YUMA RD
Second Line	:
City	:	WILSON
State	:	NC
Zip	:	27893-8839
Country	:	US
Telephone Number	:	252-360-6859
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2025
Last Update Date	:	02/27/2025

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Directions to “ CORNELIA J SNOW ” Practice Location

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