Organization
JEFF GLOVER MD PA
Active
Other names
Jeffrey H Glover MD
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY HENRY GLOVER MD (PRESIDENT)
(601) 684-2481
Entity
Organization
Contact information
Practice address
1311 ASTON AVENUE, MCCOMB, MS 39648-2825
(601) 684-2481
(601) 684-2488
Mailing address
PO BOX 746, MCCOMB, MS 39649-0746
(601) 684-2481
(601) 684-2488
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
10993
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00016354
—
MS
01
—
1387509
LOUISIANA MEDICAID
LA
01
—
1730117
UNITED HEALTHCARE
MS
01
—
5023171
AETNA
MS
Enumeration date
08/20/2006
Last updated
08/22/2020
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