Individual
JEFFREY LOUIS SNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5530 MUNFORD RD, SUITE 119, RALEIGH, NC 27612-2638
(919) 782-9554
(919) 782-9130
Mailing address
5530 MUNFORD RD, SUITE 119, RALEIGH, NC 27612-2638
(919) 782-9554
(919) 782-9130
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
33310
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
78348
NC BLUE CROSS BLUE SHILED
NC
05
—
8978348
—
NC
Enumeration date
09/20/2006
Last updated
06/28/2010
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