Individual
DR. ROSE L GLYNNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1110 W KINGSHIGHWAY, PARAGOULD, AR 72450-4164
(870) 205-2000
(870) 205-2001
Mailing address
1000 W KINGSHIGHWAY STE 14, PARAGOULD, AR 72450-4197
(870) 239-8591
(870) 239-8137
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
36353
NC
207V00000X
Obstetrics & Gynecology Physician
Primary
E-8911
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206899001
—
AR
01
—
36353
LICENSE
NC
05
—
89013T3
—
NC
Enumeration date
08/10/2005
Last updated
12/02/2020
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