Individual
DR. MOLLIE B GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
100 N LYON ST STE A, ELIZABETHTOWN, NC 28337-9582
(910) 862-2222
(910) 991-3077
Mailing address
100 N LYON ST STE A, ELIZABETHTOWN, NC 28337-9582
(910) 862-2222
(910) 991-3077
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1153
SC
152W00000X
Optometrist
Primary
1755
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235149352
—
NC
05
—
5910225
—
NC
Enumeration date
08/09/2006
Last updated
10/17/2023
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