Individual
MR. GLENN DUNLAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6 REGIONAL DR, SUITE A, PINEHURST, NC 28374-8850
(919) 751-9120
(919) 751-9170
Mailing address
PO BOX 4839, PINEHURST, NC 28374-4839
(919) 751-9120
(919) 751-9170
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
286
NC
213EP1101X
Primary Podiatric Medicine Podiatrist
286
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08062
BCBS INDIVIDUAL
NC
05
—
890805K
—
NC
Enumeration date
03/02/2006
Last updated
08/29/2024
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