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GEORGE CHESTER GLENN MD NPI 1093769804


NPI Information

NPI: 1093769804
Provider Name: GEORGE CHESTER GLENN, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
1686 SKYLAND DRIVE
SUITE 201
SPARTANBURG, SC
ZIP 29307
Phone: (864) 582-8135
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George Chester Glenn, MD is a pediatrics in Spartanburg, SC. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. George Chester Glenn, MD NPI is 1093769804. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1686 SKYLAND DRIVE
SUITE 201
SPARTANBURG, SC
ZIP 29307
Phone: (864) 582-8135
Fax: (864) 573-9757

The enumeration date for this NPI number is 5/19/2006 and was last updated on 1/7/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics13451SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E34110MEDICARE ID-TYPE UNSPECIFIED
2E341103640MEDICARE PINSOUTH CAROLINA
3E341107951MEDICARE PINSOUTH CAROLINA
4E34110MEDICARE UPIN
5134517MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.