person
Mr. Carl Glenn Oliver, PA
Medical Physician Assistant in Montezuma, Georgia
NPI 1013903426

Carl Glenn Oliver is a Medical Physician Assistant based in Montezuma, GA and is specialized in Medical. Carl Glenn Oliver practices in Montezuma, GA and has the professional credentials of PA. The NPI Number for Carl Glenn Oliver is 1013903426 and holds a License No. 04064 (Georgia).

The current practice location address for Carl Glenn Oliver is 502 Sumter St, Montezuma, GA and can be reached out via phone at 478-472-8178 and via fax at 478-472-3289.

Location: 502 Sumter St, Montezuma, GA, 31063-1734
person
Provider Profile Details
NPI Number
1013903426
Provider Name
Carl Glenn Oliver
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
502 Sumter St, Montezuma, GA, 31063-1734
Phone Number
478-472-8178
Fax Number
478-472-3289
Provider Enumeration Date
09/21/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
455252909A 05 GA
364910 01 GA WELLCARE
institution
Provider Business Practice Location Address Details
Address
502 Sumter St
City
State
Zip
31063-1734
Phone Number
478-472-8178
Fax Number
478-472-3289
person
Provider Business Mailing Address Details
Address
502 Sumter St
City
State
Zip
31063-1734
Phone Number
478-472-8178
Fax Number
478-472-3289
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
04064 (Georgia)
Definition
Definition to come...
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