Individual
DR. PAUL BRYANT GLISSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
750 MORPHY AVE, FAIRHOPE, AL 36532-1812
(251) 990-1150
Mailing address
PO BOX 830469, BIRMINGHAM, AL 35283-0469
(904) 805-1152
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO799
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009917185559400060
—
AL
Enumeration date
05/27/2006
Last updated
07/08/2007
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