Individual
GLENN BENARD MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 N FANT ST, ANDERSON, SC 29621-5708
(864) 512-1000
Mailing address
1116 PARKER PL NE, ATLANTA, GA 30324-5402
(404) 931-7978
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2017039490
MO
207P00000X
Emergency Medicine Physician
4301508615
MI
207P00000X
Emergency Medicine Physician
82260
SC
Other
Enumeration date
11/21/2006
Last updated
04/11/2024
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