Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 0001031 | GA |
NPI | 1326174400 |
---|---|
Provider Name | Dr. John Christy Snyder |
First Address | Winder, GA 30680-2110 |
Second Address | Winder, GA 30680-2110 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2007 |
Last Update Date | 06/11/2015 |