Individual
SCOTT SNYDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1999 PRINCE AVE, ATHENS, GA 30606-6013
(706) 543-0059
(706) 543-0290
Mailing address
1999 PRINCE AVE, ATHENS, GA 30606-6013
(706) 543-0059
(706) 543-0290
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
279189
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00311363A
—
GA
01
—
27918
STATE LICENSE
GA
Enumeration date
01/30/2007
Last updated
06/06/2013
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