Individual
PATRICIA GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
285 BOULEVARD NE, SUITE 240, ATLANTA, GA 30312-4205
(404) 523-5900
(404) 745-0418
Mailing address
PO BOX 360494, DECATUR, GA 30036-0494
(770) 987-8252
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
027195
GA
208D00000X
General Practice Physician
027195
GA
Other
Enumeration date
12/29/2006
Last updated
10/27/2021
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