Individual
JOHN V GLISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501-3834
(770) 535-3611
(770) 535-7092
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 718-1122
(770) 535-7445
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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