Search › South Carolina › 156FX1800X
Mark Glenn
NPI 1902537376 · on the registry since 2022 · sole proprietor
Practice
- Address
- 1317 N Main St
Summerville, SC 29483 - Phone
- (843) 821-4338
- Organisation at this address
- National Vision Inc
Rock Creek Ortho Gear
Wal-Mart Stores East Lp
Wal-Mart Stores East, LpInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Additional practice sites
- 1317 N Main St, Summerville, SC
Registry record
- Primary taxonomy
- 156FX1800X
156FX1800X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-06-17
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 South Carolina