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Organization

ELIZABETH A SNODERLY DO PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELIZABETH A SNODERLY D.O. (PRESIDENT)
(843) 545-5927
Entity
Organization

Contact information

Practice address
219 CHURCH ST, GEORGETOWN, SC 29440-2403
(843) 545-5927
Mailing address
PO BOX 2429, MURRELLS INLET, SC 29576-2429
(843) 651-2624
(843) 357-4940

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP3272
SC
Enumeration date
05/04/2006
Last updated
08/22/2020
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