Individual
CLARENCE BUREN GLOVER JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
708 S 8TH ST, GRIFFIN, GA 30224-4827
(770) 228-5402
(770) 412-6917
Mailing address
708 S 8TH ST, GRIFFIN, GA 30224-4827
(770) 228-5402
(770) 412-6917
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002296
GA
Other
Enumeration date
08/10/2005
Last updated
07/08/2007
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