Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 15825 | NV |
Y | 207X00000X | Orthopaedic Surgeon | 2015-00405 | NC |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 15825 | NV |
NPI | 1407176282 |
---|---|
Provider Name | Snow Brenner Daws |
First Address | Charlotte, NC 28260-0447 |
Second Address | Kernersville, NC 27284-7198 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2010 |
Last Update Date | 26/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1407176282 | (05) | NV |