Basic Information
| Provider Information | |||||||||
| NPI: | 1265432983 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SNIDER | ||||||||
| FirstName: | ALISON | ||||||||
| MiddleName: | TOWNSEND | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 2005 | ||||||||
| Address2: | |||||||||
| City: | ASHEBORO | ||||||||
| State: | NC | ||||||||
| PostalCode: | 272042005 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3366251172 | ||||||||
| FaxNumber: | 3366256434 | ||||||||
| Practice Location | |||||||||
| Address1: | 900 OLD WINSTON RD | ||||||||
| Address2: | SUITE 222 | ||||||||
| City: | KERNERSVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 272848119 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3369921234 | ||||||||
| FaxNumber: | 3369939963 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/22/2005 | ||||||||
| LastUpdateDate: | 11/01/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 200300198 | NC | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 891367M | 05 | NC | MEDICAID |