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Individual

MR. TIMOTHY MATTHEW SNOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RNC, NNP, MSN

Contact information

Practice address
MEDICAL CENTER BOULEVARD, WINSTON-SALEM, NC 27103
(336) 713-6428
Mailing address
4999 NC HIGHWAY 268, DOBSON, NC 27017-8008
(336) 374-6915
(336) 713-6434

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
930238
NC

Other

Enumeration date
11/15/2005
Last updated
10/11/2007
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