Individual
ELIZABETH A SNODERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1204 E CHEVES ST, FLORENCE, SC 29506-2710
(843) 673-0122
(843) 673-0127
Mailing address
PO BOX 1018, PAWLEYS ISLAND, SC 29585-1018
(843) 651-2624
(843) 357-4940
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
0498
SC
208VP0014X
Interventional Pain Medicine Physician
00498
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004989
—
SC
Enumeration date
05/04/2006
Last updated
06/03/2011
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