Individual
DR. GLENN E HARNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1680 MONTGOMERY HWY, HOOVER, AL 35216-4906
(205) 979-0888
(205) 979-4110
Mailing address
2147 RIVERCHASE OFFICE RD, HOOVER, AL 35244-1836
(205) 421-2122
(205) 982-7882
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
052451
GA
207P00000X
Emergency Medicine Physician
27336
SC
208D00000X
General Practice Physician
Primary
31023
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10058667
AMERIGROUP
GA
05
—
801486406A
—
GA
05
—
801486406B
—
GA
05
—
801486406D
—
GU
05
—
801486406E
—
GA
05
—
801486406F
—
SC
05
—
801486406H
—
GA
05
—
G52451
—
SC
Enumeration date
06/07/2006
Last updated
08/18/2011
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