Individual
DR. GLENN T BROTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
406 N POINSETT HWY, GATEWAY FAMILY MEDICINE, TRAVELERS REST, SC 29690-1667
(864) 834-4151
(864) 834-6145
Mailing address
PO BOX 639856, CINCINNATI, OH 45263-9856
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39795
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
397957
—
SC
01
—
P00353360
RAILROAD MEDICARE
MO
Enumeration date
05/26/2006
Last updated
06/12/2025
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