Individual
CYNTHIA LOUISE GLASSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
300 RAWLS DR STE 600, MCCOMB, MS 39648-2862
(601) 249-4415
(601) 249-4474
Mailing address
PO BOX 490, MCCOMB, MS 39649-0490
(601) 250-4366
(601) 250-4367
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33435
MS
207Q00000X
Family Medicine Physician
CG011459
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010000827
HEALTH PLUS
MI
01
—
107505
CARE CHOICE
MI
05
—
1982630612
—
MI
05
—
3364670
—
MI
01
—
5631225
BCBS
MI
01
—
C6279
M-CARE
MI
Enumeration date
09/25/2006
Last updated
06/07/2024
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