Individual
AUSTIN MICHAEL GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
MEDICAL CENTER NORTH SUITE CCC-4312 1161 21ST AVE S, NASHVILLE, TN 37232-0001
(615) 343-6642
Mailing address
MEDICAL CENTER NORTH SUITE CCC-4312 1161 21ST AVE S, NASHVILLE, TN 37232-0001
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/22/2022
Last updated
04/22/2022
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