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Individual
DR. GLEN ROY PINKSTON JR.
Active
Individual
DR. GLEN ROY PINKSTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2011-00931
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2011-00931
STATE MEDICAL BOARD
NC
01
—
34437
STATE MEDICAL BOARD
SC
05
—
5917687
—
NC
05
—
NC1429
—
SC
Enumeration date
06/29/2005
Last updated
04/17/2018
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