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1902913015

NPI Code Detail

MEDICARE: LINDA B SNYDER MD

MEDICARE: LINDA B 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	2084P0804X	Child & Adolescent Psychiatry Physician	2011-01183	NC
2	2084P0804X	Child & Adolescent Psychiatry Physician	030137	TN
3	2084P0804X	Child & Adolescent Psychiatry Physician	24410	MS

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902913015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA B SNYDER MD

Provider Business Mailing Address
First Line	:	8604 CLIFF CAMERON DR STE 152
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28269-8526
Country	:	US
Telephone Number	:	704-510-5600
Fax Number	:	704-510-5601

Provider Business Practice Location Address
First Line	:	8604 CLIFF CAMERON DR STE 152
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28269-8526
Country	:	US
Telephone Number	:	704-510-5600
Fax Number	:	704-510-5601

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

Provider Enumeration Date	:	08/24/2006
Last Update Date	:	06/17/2019

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Directions to “ LINDA B SNYDER MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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