Pinkston, Glen Roy

Pinkston, Glen Roy is an individual health care provider with primary practice located at 8800 N Tryon St , Charlotte NC 28262-3300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Pinkston, Glen Roy can be contacted via phone (704) 863-5727.

Contact Information

Primary practice address
8800 N Tryon St Charlotte NC 28262-3300
Phone: (704) 863-5727
Fax: (704) 863-5733
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 2011-00931 North Carolina

Profile Details

NPI number 1912904517
LBN Legal business name Pinkston, Glen Roy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2005
Last updated Apr 17th, 2018 - about 6 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 1912904517 NPPES
South Carolina MEDICAID NC1429
South Carolina Other 34437
South Carolina MEDICAID 5917687
South Carolina Other 2011-00931

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