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Individual

GLENDA ATILANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4371 NARROW LANE RD, SUITE 100, MONTGOMERY, AL 36116-2971
(334) 613-7080
(334) 613-7081
Mailing address
4371 NARROW LANE RD, SUITE 100, MONTGOMERY, AL 36116-2971
(334) 613-7080
(334) 613-7081

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18529
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009910777
AL
01
0403254
UNITED HEALTHCARE
AL
01
051540503
BCBS
AL
01
51028438
BCBS
AL
01
51028509
BCBS
AL
01
630813275
COMMERICAL GROUP
AL
05
630900038
AL
05
630902038
AL
01
P00426540
RAIL ROAD MEDICARE
AL
Enumeration date
01/04/2006
Last updated
05/22/2008
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