Individual
SNOW BRENNER DAWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1730 KERNERSVILLE MEDICAL PKWY STE 204, KERNERSVILLE, NC 27284-7198
(336) 277-4460
(336) 718-7989
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 718-7950
(916) 703-5074
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
15825
NV
207X00000X
Orthopaedic Surgery Physician
Primary
2015-00405
NC
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
15825
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407176282
—
NV
Enumeration date
06/03/2010
Last updated
10/26/2020
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