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Individual

MEGHANN SAMANTHA GLENN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1409 W GEORGIA RD STE A, SIMPSONVILLE, SC 29680-6420
(864) 454-5062
(864) 241-9209
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20450
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP4240
SC
Enumeration date
09/30/2016
Last updated
07/01/2021
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