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Organization
TINA SNODGRASS DERM, PLLC
Active
Organization
TINA SNODGRASS DERM, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TINA SNODGRASS APRN (PRESIDENT)
(270) 929-5578
Entity
Organization
Contact information
Practice address
1219 N MAIN ST STE 2, BEAVER DAM, KY 42320-8955
(270) 926-0707
Mailing address
1219 N MAIN ST STE 2, BEAVER DAM, KY 42320-8955
(270) 926-0707
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3002620
KY
Other
Enumeration date
03/19/2013
Last updated
12/05/2024
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