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DR. GLENN O ARCHIBALD MD

Psychiatry >> Psychiatry & Neurology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1316947450

Individual Registrant:
DR. GLENN O ARCHIBALD MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1302 NOBLE ST STE. 3D ANNISTON, AL 36201-4678 US
Tel: 256-546-9265  Fax: 256-549-0376

Contact information for business:
3001 SCENIC HIGHWAY  GADSDEN, AL 35904-3047 US
Tel: 256-546-9265  Fax: 256-549-0376

Registration Information:
NPI: 1316947450
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2084P0800XAllopathic & Osteopathic Physicians
Psychiatry & Neurology
Psychiatry
AL16043

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
DEABA1675315AL01
MEDICAL LICENSE16043AL01




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