GLEN LOY PORTWOOD

CHARLOTTE, NC
NPI1316965726
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207RG0100X Internal Medicine, Gastroenterology
(Licence: NC  9300570)
Enumeration Date2006-07-17
Last Update Date2017-05-04
Business Address
-- GLEN LOY PORTWOOD M.D.
101 E WT HARRIS BLVD STE 3111
CHARLOTTE, NC 28262-7002
Phone number: 704-547-8818
Mailing Address
-- GLEN LOY PORTWOOD M.D.
11301 CARMEL COMMONS BLVD STE 302
CHARLOTTE, NC 28226-5305
Phone number: 704-372-7974
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