Provider Demographics
NPI:1215257514
Name:REID, TRISTA DAY SNYDER (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:TRISTA
Middle Name:DAY SNYDER
Last Name:REID
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:DR
Other - First Name:TRISTA
Other - Middle Name:DAY
Other - Last Name:SNYDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:101 MANNING DR DEPT OF SURGERY
Mailing Address - Street 2:4008 BURNETT WOMACK BLDG CB 7228
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-4220
Mailing Address - Country:US
Mailing Address - Phone:919-966-4389
Mailing Address - Fax:919-966-0369
Practice Address - Street 1:101 MANNING DR DEPT OF SURGERY
Practice Address - Street 2:CB #7050
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-4220
Practice Address - Country:US
Practice Address - Phone:919-966-4653
Practice Address - Fax:919-966-7841
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-09
Last Update Date:2018-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2016-01596208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1215257514OtherNPI