Grider, Glenna Lea
Grider, Glenna Lea is an individual health care provider with primary practice located at 555 Carthage St , Sanford NC 27330-4104. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Grider, Glenna Lea can be contacted via phone (919) 774-6518.Contact Information
Primary practice address
555 Carthage St
Sanford NC 27330-4104
Phone: (919) 774-6518
Fax: (919) 774-1831
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2005 00569 | North Carolina |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2005 00569 | North Carolina |
Profile Details
| NPI number | 1740281567 |
|---|---|
| LBN Legal business name | Grider, Glenna Lea |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Feb 1st, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740281567 | NPPES |
| North Carolina | Other | 1396J | BC/BS NC |
| North Carolina | MEDICAID | 5901059 | BC/BS NC |
| North Carolina | Other | FH1100110 | BC/BS NC |
| North Carolina | Other | P00869141 | BC/BS NC |
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