Individual
DAVID LEE SNODGRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1146 EVELYN GANDY PKWY, PETAL, MS 39465-3947
(601) 584-4309
(601) 584-4890
Mailing address
5001 HARDY ST, HATTIESBURG, MS 39402-1308
(601) 268-8549
(601) 261-5716
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
881470
MS
Other
Enumeration date
12/31/2018
Last updated
08/27/2020
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