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Individual

DR. CAROL GLENN TRENT JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
581 LEROY GEORGE DR, SUITE 380, CLYDE, NC 28721-8084
(828) 452-8378
(828) 452-8326
Mailing address
581 LEROY GEORGE DR, SUITE 380, CLYDE, NC 28721-8084
(828) 452-8378
(828) 452-8326

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2015-02023
NC
207X00000X
Orthopaedic Surgery Physician
38020
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1831169523
VA
01
2015-02023
NC LICENSE
NC
01
38020
LICENSE
TN
05
3889600
TN
Enumeration date
01/25/2006
Last updated
01/05/2016
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