Individual
GLENN TRIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
9633 BITTER MELON DR, ANGIER, NC 27501-5917
(919) 639-8900
(919) 639-9500
Mailing address
9633 BITTER MELON DR, ANGIER, NC 27501-5917
(919) 639-8900
(919) 639-9500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103877
NC
Other
Enumeration date
12/23/2005
Last updated
12/01/2010
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