| NPI | 1366766222 |
|---|---|
| Doing Business As | WILLIAM D GLENN IV MD |
| Entity Type | Organization |
| Authorized Contact | LISA M GOODLETT C.O.O. 803-395-2462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 19072) |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2012-01-30 |