Provider Demographics
NPI:1336351535
Name:GLENN, MARIA FRANCES (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:FRANCES
Last Name:GLENN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1000 BLYTHE BLVD.
Mailing Address - Street 2:MEB3
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28203
Mailing Address - Country:US
Mailing Address - Phone:704-355-3658
Mailing Address - Fax:704-355-7047
Practice Address - Street 1:1000 BLYTHE BLVD.
Practice Address - Street 2:MEB3
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28203
Practice Address - Country:US
Practice Address - Phone:704-355-3658
Practice Address - Fax:704-355-7047
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC141244207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine