Individual
GLENN DAVID GOLASZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
105 N CRUTCHFIELD ST # 2, DOBSON, NC 27017-8804
(336) 789-2922
(336) 789-0895
Mailing address
PO BOX 325, DOBSON, NC 27017-0325
(336) 789-8292
(336) 789-0856
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101245263
VA
207Q00000X
Family Medicine Physician
200101205
NC
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
0101245263
VA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
200101205
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1297N
BCBS OF NC
NC
05
—
891297N
—
NC
Enumeration date
01/24/2006
Last updated
02/06/2024
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