COURTNEY GLENN DPM LLC (NPI# 1306221106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306221106 |
| Entity Type | Organization |
| Organization Name | COURTNEY GLENN DPM LLC |
| Practice Address |
1574 Friendship Rd # 200 Hoschton GA 30548-4146 |
| Mailing Address |
539 Foster Rd Franklin PA 16323-3315 |
| Practice Telephone | 7706485040 |
| Mailing Telephone | 8147588425 |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2015-07-22 |
| Authorized Official Name | COURTNEY GLENN (OWNER) |
| Authorized Official Telephone | 8147588425 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
POD001277 | GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PERSONAL NPI NUMBER | 1831454750 | 01 |
| Street Address |
1574 FRIENDSHIP RD # 200 |
| City | HOSCHTON |
| State | GA |
| Zip Code | 30548-4146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386108587 | Lan Tran Schlecht | Social Worker | 255 Lamar Ln, Hoschton, GA 30548 | 2019-01-22 |
| 1265932560 | Carley Costner | Chiropractor | 280 Cambridge Farms Dr, Hoschton, GA 30548 | 2018-02-14 |
| 1285906263 | Loving Hearts Helping Hands Senior Homecare | Home Health | 2011 Maddox Road, Hoschton, GA 30548 | 2012-02-06 |
| 1588967376 | Pamela Ann Reagin | Massage Therapist | 4397 Hwy 53, Hoschton, GA 30548 | 2010-12-16 |
| 1144523176 | David Chandler Bell | Chiropractor | 55 Freedom Parkway, Suite 112, Hoschton, GA 30548 | 2010-12-14 |
| 1275781361 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 5848 Hwy 124 West, Hoschton, GA 30548 | 2008-09-03 |
| 1972635407 | Cognitive Behavioral Health LLC | Counselor | 5415 Thompson Mill Road Ste B, Dr Devin Vicknair, Hoschton, GA 30548 | 2007-03-10 |
| 1336203454 | Robert Lee Cornett | Physical Therapist | 5415 Thompson Mill Road, Hoschton, GA 30548 | 2006-12-21 |
| 1790846426 | West Jackson Medicine Center, Inc | Durable Medical Equipment & Medical Supplies | 3845 Hwy 53, Hoschton, GA 30548 | 2006-12-13 |
| 1235140773 | Jennifer Hawk Wiley | Chiropractor | 117 Bell Avenue, Hoschton, GA 30548 | 2006-08-10 |
| Find all providers in zip 30548 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184256794 | Whitney Mcconnell LLC | Clinic/Center | 2600 Wildwood Dr, Brunswick, GA 31520-4249 | 2020-02-11 |
| 1801304662 | Hc Podiatry, LLC | Clinic/Center | 1870 The Exchange Se Ste 200, Atlanta, GA 30339-2021 | 2018-01-15 |
| 1508384892 | Eldridge Podiatry and Diabetes Center, LLC | Clinic/Center | 910 Dannon Vw Sw Ste 2201, Atlanta, GA 30331-2156 | 2017-09-06 |
| 1659516292 | Southside Footcare P.C. | Clinic/Center | 13015 Abercorn St Ste D9, Savannah, GA 31419-1975 | 2008-12-11 |
| 1669626735 | Podiatry Associates of Georgia P C | Clinic/Center | 5200 Greystone Summit Dr, Suite #1010, Columbus, GA 31909-7541 | 2008-11-15 |
| 1588858922 | Webb's Foot and Wound Care Clinic, LLC | Clinic/Center | 2907 Watson Blvd Ste I, #184, Warner Robins, GA 31093-8513 | 2007-08-29 |
| 1154536126 | South Fulton Family Foot Care, Inc. | Clinic/Center | 67 W Campbellton St, Fairburn, GA 30213-1338 | 2007-05-13 |
| 1386869386 | Midtown Surgical Center, LLC | Clinic/Center | 906 Abercorn St, Savannah, GA 31401-5912 | 2007-04-16 |
| 1376668020 | Family Podiatry Center PC | Clinic/Center | 1804 Seminole Drive, Vidalia, GA 30474 | 2007-03-20 |
| 1447362298 | Family Podiatry Center PC | Clinic/Center | 95 Bel Air Dr, Statesboro, GA 30461-6879 | 2006-08-31 |
| Find all providers with the same taxonomy | ||||
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| 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.