Basic Information
Provider Information
NPI: 1356587661
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SNAPP
FirstName: MEREDITH
MiddleName: S.
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 60447
Address2:  
City: CHARLOTTE
State: NC
PostalCode: 282600447
CountryCode: US
TelephoneNumber: 7043849437
FaxNumber:  
Practice Location
Address1: 1918 RANDOLPH RD
Address2: SUITE 400
City: CHARLOTTE
State: NC
PostalCode: 282071196
CountryCode: US
TelephoneNumber: 7043849437
FaxNumber: 7043849440
Other Information
ProviderEnumerationDate: 12/17/2008
LastUpdateDate: 10/25/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/06/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084S0012X2013-02097NCN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
2084N0400X2013-02097NCY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology

No ID Information.


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