MEDICARE: DR. RICHARD GALE SNYDER MD

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	208D00000X	General Practice Physician	11701	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376711382
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD GALE SNYDER MD

Provider Business Mailing Address
First Line	:	3816 HIGHWAY 17 S
Second Line	:
City	:	NORTH MYRTLE BEACH
State	:	SC
Zip	:	29582-5069
Country	:	US
Telephone Number	:	843-272-1411
Fax Number	:	843-272-2130

Provider Business Practice Location Address
First Line	:	3816 HIGHWAY 17 S
Second Line	:
City	:	NORTH MYRTLE BEACH
State	:	SC
Zip	:	29582-5069
Country	:	US
Telephone Number	:	843-272-1411
Fax Number	:	843-272-2130

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

Provider Enumeration Date	:	02/12/2008
Last Update Date	:	10/24/2008

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