Glen Allen Hidden M.D.

NPI 1063433050 - Family Medicine - 207Q00000X

NPI Details
NPI 1063433050
Gender Male
Enumeration Date 07/22/2006
Last Updated 10/17/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
50 E HOSPITAL ST
SUITE 4
MANNING SC, 29102-3149, US
Phone (803) 435-5250
Fax (803) 435-5255
Business Location
50 E HOSPITAL ST
SUITE 4
MANNING SC, 29102-3149, US
Phone (803) 435-5250
Fax (803) 435-5255
Toxanomy
Taxonomy Code 207Q00000X
License State Georgia
License Number 043063
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According to our database, Glen Allen Hidden M.D. NPI is 1063433050, taxonomy code is 207Q00000X and license number is 043063, license state is located at Georgia. Glen Allen Hidden M.D. physically located at 50 E Hospital St, Manning SC, 29102-3149. NPI Number Glen Allen Hidden M.D. has the Individual type.

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1063433050 NPI number is provided on an as is basis without warranty of any kind. 1063433050 is maintained by the National Plan & Provider Enumeration System. The contents of Glen Allen Hidden M.D. are for informational purposes only.