Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | 51361 | SC |
NPI | 1033383435 |
---|---|
Provider Name | Rebecca Anne Snyder |
First Address | Greenville, SC 29615-4536 |
Second Address | Greenville, SC 29605-4281 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2008 |
Last Update Date | 26/01/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
350314601 | (05) | TX |