Individual
GLEN J. DASHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1140 BRAMPTON, STATESBORO, GA 30458
(912) 871-2273
(912) 871-2274
Mailing address
1140 BRAMPTON AVE, STATESBORO, GA 30458
(912) 871-2273
(912) 871-2274
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
043354
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000766114E
—
GA
Enumeration date
10/18/2006
Last updated
08/08/2023
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