Individual
WILLIAM GLENN MASIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9121 SAM FURR RD STE 108, HUNTERSVILLE, NC 28078-8235
(704) 324-3590
(704) 324-3591
Mailing address
PO BOX 601843, CHARLOTTE, NC 28260-1843
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34676
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54571
BCBS
NC
05
—
8954571
—
NC
05
—
Q34678
—
SC
Enumeration date
05/04/2006
Last updated
08/19/2021
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