Glisson, Gary R

Glisson, Gary R is an sole proprietor health care provider with primary practice located at 117 W Church St , Nashville NC 27856-1327. He recently has 4 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier, Podiatric Medicine & Surgery Service Providers / Assistant, Podiatric. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Glisson, Gary R can be contacted via phone (252) 459-2135.

Contact Information

Primary practice address
117 W Church St Nashville NC 27856-1327
Phone: (252) 459-2135
Fax: (252) 459-9300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 7023 North Carolina
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 20733 North Carolina
Suppliers / Prosthetic/Orthotic Supplier 335E00000X 20733 North Carolina
Podiatric Medicine & Surgery Service Providers / Assistant, Podiatric 211D00000X 20733 North Carolina

Profile Details

NPI number 1033111968
LBN Legal business name Glisson, Gary R
Credentials R PH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2005
Last updated Mar 12th, 2009 - about 15 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 1033111968 NPPES
North Carolina Other 20733 BCP-BOARD OF CERTIFICATION IN PEDORTHICS
North Carolina MEDICAID 7795227 BCP-BOARD OF CERTIFICATION IN PEDORTHICS

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