Individual
JOYLIN GLENITA DSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
291 BROAD ST, KERNERSVILLE, NC 27284-2932
(336) 993-8181
(336) 996-9539
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 718-4820
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2017-01733
NC
207Q00000X
Family Medicine Physician
MD446450
PA
207Q00000X
Family Medicine Physician
R2139
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100126360
—
KY
Enumeration date
06/19/2009
Last updated
10/26/2020
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