Smith, Glenn R

Smith, Glenn R is an individual health care provider with primary practice located at Brody Outpatient Center 600 Moye Blvd, Greenville NC 27858. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Smith, Glenn R can be contacted via phone (252) 744-2207.

Contact Information

Primary practice address
Brody Outpatient Center 600 Moye Blvd Greenville NC 27858
Phone: (252) 744-2207
Fax: (252) 744-3794
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 104089 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 104089 North Carolina

Profile Details

NPI number 1275505794
LBN Legal business name Smith, Glenn R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Jan 8th, 2022 - about 4 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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