Individual
DR. GEORGE EDWIN GLOSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2835 S CHURCH ST, BURLINGTON, NC 27215-5105
(336) 808-2020
Mailing address
1950 OLD GALLOWS RD 520, VIENNA, VA 22182-3970
(703) 847-8899
(703) 991-0514
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1283
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070827001
DMERC
NC
01
—
09365
BLUE CROSS BLUE SHIELD
NC
05
—
7909365
—
NC
Enumeration date
05/04/2006
Last updated
03/17/2018
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