Individual
RENEE GLOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2518 S CROATAN HWY STE B, NAGS HEAD, NC 27959-8994
(252) 441-7546
(252) 441-4151
Mailing address
2518 S CROATAN HWY STE B, NAGS HEAD, NC 27959-8994
(252) 441-7546
(252) 441-4151
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
34013
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36026
BCBS
NC
05
—
8936026
—
NC
Enumeration date
06/13/2005
Last updated
11/01/2011
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