Individual
DR. TELITHA DONET GLASSCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
401 12TH STREET EXT, PRINCETON, WV 24740-2300
(304) 431-5041
(304) 425-6121
Mailing address
401 12TH STREET EXT, PRINCETON, WV 24740-2300
(304) 431-5041
(304) 425-6121
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1715
WV
Other
Enumeration date
09/12/2005
Last updated
12/14/2011
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