Individual
DR. JASON TUCKER SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
055309
GA
2085R0202X
Diagnostic Radiology Physician
24169
AL
2085R0202X
Diagnostic Radiology Physician
Primary
27466
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
479413320A
—
GA
05
—
479413320B
—
GA
05
—
479413320C
—
GA
05
—
479413320E
—
GA
05
—
479413320F
—
GA
05
—
479413320G
—
GA
Enumeration date
07/12/2006
Last updated
02/06/2026
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