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Search › Georgia › 163WC1500X

Shanika Glenn

NPI 1124717780 · on the registry since 2023

Practice

Address
2100 Comer Ave
Columbus, GA 31904
Phone
(706) 326-4396
Organisation at this address
New Horizons
Montgomery Vamc
New Horizons Csb
Genoa Healthcare Llc
New Horizons Csb Pharmacy
Inferred from a shared address, not stated in the registry.
Clinicians at this address
754

Registry record

Primary taxonomy
163WC1500X
163WC1500X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-05-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia