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DR. JOHN GLENN ANGELO M.D.
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1609942184
Individual Registrant:DR. JOHN GLENN ANGELO M.D.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
300 W HOSPITAL ROAD EISENHOWER ARMY MEDICAL CENTER ATTN CREDENTIALS FORT GORDON, GA 30905-5650 US
Tel: 706-787-2720 Fax: 706-787-8176
Tel: 706-787-2720 Fax: 706-787-8176
Contact information for business:
300 W HOSPITAL ROAD EISENHOWER ARMY MEDICAL CENTER ATTN CREDENTIALS FORT GORDON, GA 30905-5650 US
Tel: 706-787-2720 Fax: 706-787-8176
Tel: 706-787-2720 Fax: 706-787-8176
Registration Information:
NPI: 1609942184
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | GA | 056088 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
