Carlos, Glenn N

Carlos, Glenn N is an individual health care provider with primary practice located at 4700 Waters Ave Ste 403 , Savannah GA 31404-6220. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Carlos, Glenn N can be contacted via phone (912) 273-1150.

Contact Information

Primary practice address
4700 Waters Ave Ste 403 Savannah GA 31404-6220
Phone: (912) 273-1150
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 01046364A Indiana
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 01046364A Indiana
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 94975 Georgia

Profile Details

NPI number 1083705842
LBN Legal business name Carlos, Glenn N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated May 10th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083705842 NPPES
Indiana Other 000000834804 ANTHEM PIN
Indiana MEDICAID 200013190 ANTHEM PIN

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