Individual
CHERYL S GLASGOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
250 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1508
(336) 718-1000
(336) 718-1052
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 718-1000
(336) 718-1052
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
101032
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
191434
MEDCOST
—
05
—
8102319
—
NC
01
—
P00397970
RAILROAD MEDICARE
—
Enumeration date
12/21/2006
Last updated
02/25/2013
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