Individual
MS. MELISA JANE SNODGRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
210 BROOKS ST STE 200, CHARLESTON, WV 25301-1848
(304) 388-1930
Mailing address
400 ASSOCIATION DR STE 102, CHARLESTON, WV 25311-1298
(304) 388-0053
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1493
WV
363AM0700X
Medical Physician Assistant
01493
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801230842
—
WV
Enumeration date
04/22/2013
Last updated
04/01/2026
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