Individual
PETRA S GLOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2300 MANCHESTER EXPY, STE 1003, COLUMBUS, GA 31904-6802
(706) 565-7382
(706) 565-9110
Mailing address
PO BOX 7335, COLUMBUS, GA 31908-7335
(706) 320-3128
(706) 320-3230
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN150430
GA
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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