Individual
GLEN ALLEN HIDDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 E HOSPITAL ST, SUITE 4, MANNING, SC 29102-3149
(803) 435-5250
(803) 435-5255
Mailing address
50 E HOSPITAL ST, SUITE 4, MANNING, SC 29102-3149
(803) 435-5250
(803) 435-5255
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
043063
GA
207Q00000X
Family Medicine Physician
Primary
22420
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
872533996A
—
GA
Enumeration date
07/22/2006
Last updated
10/17/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us