Individual
MARKESIAE SYMONE GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
575 W PIKE ST, LAWRENCEVILLE, GA 30046-7685
(770) 277-0230
Mailing address
7 EXECUTIVE PARK DR NE APT 2407, ATLANTA, GA 30329-2271
(662) 410-8202
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
905222
MS
363LW0102X
Women's Health Nurse Practitioner
NP000689
GA
Other
Enumeration date
07/13/2022
Last updated
07/15/2022
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