| NPI | 1891090403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD L. SNELLGROVE Physician 251-990-1770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 00016922) |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2011-02-21 |