Individual
DR. JOSHUA BRIAN GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
840 PINE ST STE 510, MACON, GA 31201-7530
(478) 633-8383
(478) 633-8390
Mailing address
840 PINE ST STE 510, MACON, GA 31201-7530
(478) 633-8383
(478) 633-8390
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
064794
GA
Other
Enumeration date
10/31/2006
Last updated
09/09/2020
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