Grider, Glenna Lea

Grider, Glenna Lea is an individual health care provider with primary practice located at 555 Carthage St , Sanford NC 27330-4104. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Grider, Glenna Lea can be contacted via phone (919) 774-6518.

Contact Information

Primary practice address
555 Carthage St Sanford NC 27330-4104
Phone: (919) 774-6518
Fax: (919) 774-1831
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2005 00569 North Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2005 00569 North Carolina

Profile Details

NPI number 1740281567
LBN Legal business name Grider, Glenna Lea
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Feb 1st, 2016 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1740281567 NPPES
North Carolina Other 1396J BC/BS NC
North Carolina MEDICAID 5901059 BC/BS NC
North Carolina Other FH1100110 BC/BS NC
North Carolina Other P00869141 BC/BS NC

Popular Providers