Individual
SHELLE RAE GLOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
304 SHORTER AVE NW STE 201, ROME, GA 30165-4256
(706) 509-3300
Mailing address
420 E 2ND AVE STE 103, ROME, GA 30161-3210
(706) 509-3000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
073349
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003158366A
—
GA
Enumeration date
01/10/2011
Last updated
03/10/2023
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