Individual
GLENN KNOELL HARVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
521 MOYE BLVD FL 3, ECU PHYSICIANS GASTROENTEROLOGY, GREENVILLE, NC 27834-2849
(252) 744-1400
(252) 744-2899
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
200701713
NC
207RG0100X
Gastroenterology Physician
23985
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
148PY
BCBS
NC
01
—
23985
STATE LICENSE NUMBER
SC
05
—
5909351
—
NC
Enumeration date
10/12/2006
Last updated
01/10/2022
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