Individual
DR. GEORGE EDWIN GLOSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
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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