NPI | 1487785960 |
---|---|
Other Name | T. DONET GLASSCOCK, D.O. |
Entity Type | Organization |
Authorized Contact | TELITHA DONET GLASSCOCK Owner 304-431-5041 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WV 1715) |
Enumeration Date | 2007-03-08 |
Last Update Date | 2008-04-08 |