Individual
DR. EDWIN C GLASSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD FACG
Contact information
Practice address
3217 MABEL ST, SHREVEPORT, LA 71103-4022
(318) 631-9121
(318) 638-6018
Mailing address
8000 WOLF RIVER BLVD STE 200, GERMANTOWN, TN 38138-1755
(901) 747-3630
(615) 846-4352
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
015402
LA
Other
Enumeration date
09/07/2005
Last updated
04/14/2021
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