NPI 1447925664

Benita Y Glover

Practitioner Driver McDonough, GA

Practice location

Address: 80 W Independence Cir, McDonough, GA 30253-6550
Phone: (678) 724-6454

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 058988264 (GA)

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Registry record

NPI: 1447925664
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Aug 2021
Record last updated: 10 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.