Individual
COURTNEY LYNN GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1515 RIVER PL STE 370, BRASELTON, GA 30517-5605
(770) 648-5040
(706) 780-5366
Mailing address
1515 RIVER PL STE 370, BRASELTON, GA 30517-5605
(770) 648-5040
(706) 780-5366
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD001277
GA
Other
Enumeration date
07/06/2012
Last updated
06/11/2019
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