SHAMETRIAL LITRELL GLASCOCK (NPI# 1144795618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144795618 |
| Entity Type | Individual |
| Full Name | SHAMETRIAL LITRELL GLASCOCK |
| Other Name | SHAMETRIAL GLASCOCK FOREMAN |
| Credential | NP-C |
| Practice Address |
509 W 4th St Waynesboro GA 30830-1514 |
| Practice Telephone | 7068253373 |
| Mailing Telephone | 7068253373 |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2018-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN165946 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
509 W 4TH ST |
| City | WAYNESBORO |
| State | GA |
| Zip Code | 30830-1514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053935841 | Benjamin Wade Alverson | Dentist | 264 Hopkins Corner Dr. Suite D-8, Waynesboro, GA 30830 | 2020-06-08 |
| 1619524865 | Clark Drug Company, LLC. | Pharmacy | 206 W 6th Street, Waynesboro, GA 30830 | 2019-08-22 |
| 1508181405 | Walter R. Voyles | Surgery | 506 Burkeland Rd, Waynesboro, GA 30830 | 2010-04-02 |
| 1124264015 | Southern Health Solutions, LLC | Early Intervention Provider Agency | 6293c Highway 23 South, Waynesboro, GA 30830 | 2008-12-23 |
| 1184814519 | Bonnie P Jenkins Md PC | Family Medicine | 201 Dogwood Drive, Waynesboro, GA 30830 | 2007-08-01 |
| 1528113388 | Margaret Ann Mcgraw | Licensed Practical Nurse | 305 Park Dr, Waynesboro, GA 30830 | 2007-01-24 |
| 1780739599 | Ogeechee Behavioral Health Services | Community/Behavioral Health | 305 Park Drive, Waynesboro, GA 30830 | 2007-01-24 |
| 1356496194 | Ogeechee Behavioral Health Services | Community/Behavioral Health | 556 Hwy 25 South, Waynesboro, GA 30830 | 2007-01-24 |
| 1396890091 | Frances Gilbreth Brown | Counselor | 629 Shadrack Street, Waynesboro, GA 30830 | 2007-01-24 |
| 1316092000 | Connie Golding | Counselor | 727 W. Sixth Street, Waynesboro, GA 30830 | 2007-01-24 |
| Find all providers in zip 30830 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285268235 | Selena M Powe | Nurse Practitioner | 951 Matthew Dr Ste D, Waynesboro, MS 39367-2566 | 2020-02-28 |
| 1144862970 | Bobby Harris | Nurse Practitioner | 1008 Azalea Dr, Waynesboro, MS 39367-2499 | 2019-10-14 |
| 1659928083 | Kara Lynn Jacobs | Nurse Practitioner | 15 Pratts Run Ste 104, Waynesboro, VA 22980-6606 | 2019-08-21 |
| 1083181499 | Jennifer Adler | Nurse Practitioner | 12466 Jackson Ave, Waynesboro, PA 17268-4006 | 2018-10-24 |
| 1447637905 | Abigail Joyce Gingerich | Nurse Practitioner | 11609 Koons Rd, Waynesboro, PA 17268-9606 | 2015-05-04 |
| 1982031415 | Donna J Casteel | Nurse Practitioner | 107 Jv Mangubat Drive, Waynesboro, TN 38485 | 2013-09-30 |
| 1477833770 | Janna Phillips | Nurse Practitioner | 713 Lomax Ave, Waynesboro, MS 39367-2556 | 2011-08-18 |
| 1932413762 | Bendan Boyd | Nurse Practitioner | 501 Azalea Dr. Suite F, Waynesboro, MS 39367 | 2010-08-04 |
| 1225341100 | Angela B Boyd | Nurse Practitioner | 501 Azalea Dr Ste F, Waynesboro, MS 39367-2661 | 2010-07-20 |
| 1285702365 | Terry B Joiner | Nurse Practitioner | 1100a Cedar St, Waynesboro, MS 39367-2417 | 2006-11-30 |
| Find all providers in WAYNESBORO | ||||
| City | WAYNESBORO |
| Zip Code | 30830 |
Please comment or provide details below to improve the information on SHAMETRIAL LITRELL GLASCOCK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.