Gatipon, Glenn Blaise

Gatipon, Glenn Blaise is an sole proprietor health care provider with primary practice located at 888 Old Mountain Rd Nw , Kennesaw GA 30152-3843. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obesity Medicine, which is considered as his primary health care specialty. Gatipon, Glenn Blaise can be contacted via phone (770) 426-0102.

Contact Information

Primary practice address
888 Old Mountain Rd Nw Kennesaw GA 30152-3843
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obesity Medicine 207RB0002X 23962 Georgia

Profile Details

NPI number 1306287750
LBN Legal business name Gatipon, Glenn Blaise
Credentials MD PHD MBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2013
Last updated Apr 29th, 2020 - about 4 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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