Organization
TEDDIE JOE SNODGRASS, INC.
Active
Other names
Snodgrass Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TEDDIE JOE SNODGRASS FNP-BC, DNP (PRESIDENT)
(808) 342-7843
Entity
Organization
Contact information
Practice address
1130 N NIMITZ HWY RM A153, HONOLULU, HI 96817-5777
(808) 342-7843
(866) 323-1118
Mailing address
105 FALLING ROCK RD, SALTVILLE, VA 24370-3577
(808) 342-7843
(866) 323-1118
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
01/03/2016
Last updated
01/05/2023
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