Glenn S Shear Mdpc

NPI 1063614204 - Specialist - 174400000X

NPI Details
NPI 1063614204
Enumeration Date 06/01/2007
Last Updated 04/22/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GLENN S GLENN
Position OWNER
Phone (770) 991-1624
Fax (770) 991-9206
Practice Location
33 UPPER RIVERDALE RD SW
SUITE 114
RIVERDALE GA, 30274-2626, US
Phone (770) 991-1624
Fax (770) 991-9206
Business Location
33 UPPER RIVERDALE RD SW
SUITE 114
RIVERDALE GA, 30274-2626, US
Phone (770) 991-1624
Fax (770) 991-9206
Toxanomy
Taxonomy Code 174400000X
License State
License Number
Remove 1063614204 NPI Number
 

According to our database, Glenn S Shear Mdpc NPI is 1063614204, taxonomy code is 174400000X Glenn S Shear Mdpc physically located at 33 Upper Riverdale Rd Sw, Riverdale GA, 30274-2626. NPI Number 1033115704 has the healthcare provider type.

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1063614204 NPI number is provided on an as is basis without warranty of any kind. 1063614204 is maintained by the National Plan & Provider Enumeration System. The contents of Glenn S Shear Mdpc are for informational purposes only.