Individual
JOHN EARL SNELLINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
825 FAIRFAX AVE, SUITE 118, NORFOLK, VA 23507-1914
(757) 446-5955
(757) 446-5196
Mailing address
PO BOX 936, NORFOLK, VA 23501-0936
(757) 446-5955
(757) 446-5196
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101252970
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972828820
TRICARE/CHAMPUS
VA
01
—
1972828820
CORVEL
—
05
—
1972828820
—
VA
Enumeration date
04/05/2010
Last updated
06/09/2017
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