Individual
MARY CHRISTINA GLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
435 KATHERINE DRIVE, SUITE B, FLOWOOD, MS 39232
(601) 932-6455
(601) 981-7935
Mailing address
435 KATHERINE DRIVE, SUITE B, FLOWOOD, MS 39232
(601) 932-6455
(601) 981-7935
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
09307
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014803
—
MS
05
—
03521709
—
MS
Enumeration date
09/21/2006
Last updated
02/08/2017
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