Individual
GAVIN SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1705 TARBORO ST SW, WILSON MEDICAL CENTER, WILSON, NC 27893-3428
(252) 399-8558
Mailing address
709 S DECKER AVE, BALTIMORE, MD 21224-3946
(410) 491-9769
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-00851
NC
363A00000X
Physician Assistant
C02769
MD
Other
Enumeration date
06/29/2006
Last updated
08/08/2007
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