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1396239125
GEORGE RUSSELL GLENN
COLUMBIA, SC
NPI
1396239125
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: GA 95127)
Enumeration Date
2018-06-15
Last Update Date
2023-12-07
Business Address
GEORGE RUSSELL GLENN MD PhD
INTERNAL MEDICINE CLINIC 1801 SUNSET DRIVE
COLUMBIA, SC 29203
Phone number: 803-434-4153
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Mailing Address
GEORGE RUSSELL GLENN MD PhD
2825 OAK LAWN AVE UNIT 192749
DALLAS, TX 75219-4688
Phone number: 510-683-9500
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