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Courtney Glenn Dpm Llc
Podiatric Clinic/Center in Braselton, Georgia
NPI 1306221106

Courtney Glenn Dpm Llc is a Podiatric Clinic/Center based in Braselton, GA and is specialized in Podiatric. Courtney Glenn Dpm Llc practices in Braselton, GA. The NPI Number for Courtney Glenn Dpm Llc is 1306221106 and holds a License No. POD001277 (Georgia).

The current practice location address for Courtney Glenn Dpm Llc is 1515 River Pl Ste 370, Braselton, GA and can be reached out via phone at 770-648-5040 and via fax at 706-780-5366.

Location: 1515 River Pl Ste 370, Braselton, GA, 30517-5605
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306221106
Provider Name
Courtney Glenn Dpm Llc
Credential
Provider Entity Type
Organization
Address
1515 River Pl Ste 370, Braselton, GA, 30517-5605
Phone Number
770-648-5040
Fax Number
706-780-5366
Provider Enumeration Date
07/22/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1831454750 01 PERSONAL NPI NUMBER
institution
Provider Business Practice Location Address Details
Address
1515 River Pl Ste 370
City
Braselton
State
Georgia
Zip
30517-5605
Phone Number
770-648-5040
Fax Number
706-780-5366
person
Provider Business Mailing Address Details
Address
1515 River Pl Ste 370
City
Braselton
State
Georgia
Zip
30517-5605
Phone Number
770-648-5040
Fax Number
706-780-5366
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Podiatric
Taxonomy
261QP1100X
License No.
POD001277 (Georgia)
Definition
Definition to come...
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