Individual
DR. RICHARD LEWIS SNELLGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
341 GREENO N RD C, FAIRHOPE, AL 36532-2979
(251) 990-1770
(251) 990-1771
Mailing address
341 GREENO N RD C, FAIRHOPE, AL 36532-2979
(251) 990-1770
(251) 990-1771
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00016922
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000038007
—
AL
05
—
0119053
—
MS
01
—
510-38007
BLUE CROSS BLUE SHIELD
AL
Enumeration date
05/27/2006
Last updated
07/22/2015
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