Glaude, Mark

Glaude, Mark is an individual health care provider with primary practice located at 2500 Starling St Suite 201, Brunswick GA 31520-4265. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Glaude, Mark can be contacted via phone (912) 265-5125.

Contact Information

Primary practice address
2500 Starling St Suite 201 Brunswick GA 31520-4265
Phone: (912) 265-5125
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 002782 Georgia

Profile Details

NPI number 1205045093
LBN Legal business name Glaude, Mark
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated Aug 22nd, 2013 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205045093 NPPES
Georgia MEDICAID 003132355A

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