Individual
JOHN BRUCE GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2080 HOG MOUNTAIN RD, WATKINSVILLE, GA 30677-1953
(706) 769-8033
(706) 769-1748
Mailing address
2080 HOG MOUNTAIN RD, WATKINSVILLE, GA 30677-1953
(706) 769-8033
(706) 769-1748
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14302
GA
Other
Enumeration date
11/27/2020
Last updated
12/01/2020
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