Individual
MRS. GLENDORA G POMPEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4401 W WESTERN AVE STE C, SOUTH BEND, IN 46619-2645
(574) 725-7006
Mailing address
PO BOX 746720, ATLANTA, GA 30374-6720
(312) 733-9730
(773) 866-8014
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01089788A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3284829 10
—
MI
01
—
P00351062
RAIL ROAD MEDICARE PIN
MI
Enumeration date
03/03/2006
Last updated
05/11/2023
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