Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | 2019-01692 | NC |
Y | 207NS0135X | Procedural Dermatology | 0102205691 | VA |
NPI | 1174968135 |
---|---|
Provider Name | Stephanie Snyder Howerter |
First Address | Martinsville, VA 24112-1912 |
Second Address | Martinsville, VA 24112 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2013 |
Last Update Date | 18/10/2019 |