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Individual
JOHN V GLISSON
Active
Individual
JOHN V GLISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
028406
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000324266C
—
GA
05
—
000324266D
—
GA
05
—
000324266E
—
GA
05
—
000324266F
—
GA
05
—
000324266G
—
GA
01
—
10032977
AMERIGROUP
GA
01
—
1207078
UNITED HEALTHCARE
GA
01
—
1910980
CIGNA
GA
01
—
303911
WELLCARE
GA
01
—
303925
WELLCARE
GA
01
—
303930
WELLCARE
GA
01
—
303933
WELLCARE
GA
01
—
4104400
AETNA PPO
GA
01
—
52024741
BCBS
GA
01
—
531448
WELLCARE
GA
01
—
958571
AETNA HMO
GA
Enumeration date
01/18/2006
Last updated
08/17/2011
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