Individual
TATYANA GLUZBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4959 HIGHWAY 17 BYPASS S., MURRELLS INLET, SC 29576-5041
(843) 357-1299
(843) 357-2264
Mailing address
PO BOX 2747, MURRELLS INLET, SC 29576-2662
(843) 357-1299
(843) 957-2264
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32060
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
320600
—
SC
Enumeration date
05/14/2007
Last updated
02/11/2019
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