person
Glenn Ross Gangi, MD
Urology Physician in Mullins, South Carolina
NPI 1932176195

Glenn Ross Gangi is a Urology Physician based in Fort Myers, SC. Glenn Ross Gangi practices in Mullins, SC and has the professional credentials of MD. The NPI Number for Glenn Ross Gangi is 1932176195 and holds a License No. 17068 (South Carolina).

The current practice location address for Glenn Ross Gangi is 2835 E Hwy 76, Mullins, SC and can be reached out via phone at 843-423-0230 and via fax at 843-423-0802.

Location: 2835 E Hwy 76, Mullins, SC, 33907-1412
person
Provider Profile Details
NPI Number
1932176195
Provider Name
Glenn Ross Gangi
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2835 E Hwy 76, Mullins, SC, 33907-1412
Phone Number
843-423-0230
Fax Number
843-423-0802
Provider Enumeration Date
03/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7905534 05 NC
G1521 05 SC
0930136 01 SC CIGNA
000000206904 01 SC UNISON HEALTH PLAN
4241328 01 SC AETNA
776932 01 SC WELLCARE
P00360556 01 SC RAILROAD MEDICARE
GP4522 05 SC
T10681 05 SC
2199551A 01 NC CIGNA MEDICARE
80023027 01 SC SELECT HEALTH
institution
Provider Business Practice Location Address Details
Address
2835 E Hwy 76
City
State
Zip
29574
Phone Number
843-423-0230
Fax Number
843-423-0802
person
Provider Business Mailing Address Details
Address
2835 E Hwy 76
City
State
Zip
29574
Phone Number
843-423-0230
Fax Number
843-423-0802
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
License No.
17068 (South Carolina)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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