Individual
MICHELLE A GLASGOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
460 NORTHSIDE CHEROKEE BLVD STE 400, CANTON, GA 30115-8023
(770) 721-9400
(770) 721-9401
Mailing address
980 JOHNSON FERRY RD, STE 900, ATLANTA, GA 30342-4768
(404) 459-1900
(678) 354-7992
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
67423
GA
207VX0201X
Gynecologic Oncology Physician
Primary
067423
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003124297E
—
GA
05
—
003124297F
—
GA
05
—
003124297G
—
GA
05
—
003124297H
—
GA
Enumeration date
05/31/2008
Last updated
03/07/2018
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