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Individual

DR. J. GLENN ALEWINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4460 BROAD RIVER RD, COLUMBIA, SC 29210-4012
(803) 896-2181
(803) 896-2934
Mailing address
4460 BROAD RIVER RD, COLUMBIA, SC 29210-4012
(803) 896-2181
(803) 896-2934

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20899
SC

Other

Enumeration date
08/13/2013
Last updated
08/13/2013
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