Glisson, John V

Glisson, John V is an individual health care provider with primary practice located at 725 Jesse Jewell Pkwy Se , Gainesville GA 30501-3834. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Glisson, John V can be contacted via phone (770) 535-3611.

Contact Information

Primary practice address
725 Jesse Jewell Pkwy Se Gainesville GA 30501-3834
Phone: (770) 535-3611
Fax: (770) 535-7092
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 028406 Georgia

Profile Details

NPI number 1053391979
LBN Legal business name Glisson, John V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Aug 17th, 2011 - about 13 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 1053391979 NPPES
Georgia MEDICAID 000324266D
Georgia Other 303930
Georgia MEDICAID 000324266C
Georgia MEDICAID 000324266E
Georgia Other 1207078
Georgia MEDICAID 000324266F
Georgia MEDICAID 000324266G
Georgia Other 303911
Georgia Other 303925
Georgia Other 1910980
Georgia Other 303933
Georgia Other 4104400
Georgia Other 52024741
Georgia Other 10032977
Georgia Other 531448
Georgia Other 958571

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