Individual
DR. GLEN ROY PINKSTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8800 N TRYON ST, CHARLOTTE, NC 28262-3300
(704) 863-5727
(704) 863-5733
Mailing address
PO BOX 30637, CHARLOTTE, NC 28230-0637
(704) 973-5500
(704) 973-5518
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2011-00931
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2011-00931
STATE MEDICAL BOARD
NC
01
—
34437
STATE MEDICAL BOARD
SC
05
—
5917687
—
NC
05
—
NC1429
—
SC
Enumeration date
06/29/2005
Last updated
04/17/2018
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