GEORGE RUSSELL GLENN MD PHD NPI 1396239125

NPI Information

  • NPI: 1396239125
  • Provider Name: GEORGE RUSSELL GLENN, MD PHD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: INTERNAL MEDICINE CLINIC
    1801 SUNSET DRIVE
    COLUMBIA, SC
    ZIP 29203
  • Phone: (803) 434-4153

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NPI Details

George Russell Glenn, MD PHD is a diagnostic radiology radiology in Columbia, SC with 8 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. George Russell Glenn, MD PHD NPI is 1396239125. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year:2018

The provider's business location address is:

INTERNAL MEDICINE CLINIC
1801 SUNSET DRIVE
COLUMBIA, SC
ZIP 29203
Phone: (803) 434-4153
Fax: (803) 434-4160

The NPI 1396239125 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/15/2018 and was last updated on 12/7/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology95127GEORGIAYes

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: 11/21/2025

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