Carlos, Glenn N
Carlos, Glenn N is an individual health care provider with primary practice located at 4700 Waters Ave Ste 403 , Savannah GA 31404-6220. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Carlos, Glenn N can be contacted via phone (912) 273-1150.Contact Information
Primary practice address
4700 Waters Ave Ste 403
Savannah GA 31404-6220
Phone: (912) 273-1150
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 01046364A | Indiana |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 01046364A | Indiana |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 94975 | Georgia |
Profile Details
| NPI number | 1083705842 |
|---|---|
| LBN Legal business name | Carlos, Glenn N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | May 10th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083705842 | NPPES |
| Indiana | Other | 000000834804 | ANTHEM PIN |
| Indiana | MEDICAID | 200013190 | ANTHEM PIN |
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