MARIE L GLORIE (NPI# 1972112357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972112357 |
| Entity Type | Individual |
| Full Name | MARIE L GLORIE |
| Credential | NP |
| Practice Address |
625 W Memorial Dr Dallas GA 30132-4120 |
| Mailing Address |
4235 Thayer Dr Powder Springs GA 30127-5651 |
| Practice Telephone | 6789035103 |
| Mailing Telephone | 4049850242 |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-07-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
RN217524 | GA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3543 Highway 81 Ste 201, Loganville, GA 300524336 | 4045457279 |
| Street Address |
625 W MEMORIAL DR |
| City | DALLAS |
| State | GA |
| Zip Code | 30132-4120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356474035 | Paulding Dermatology | Dermatology | 625 W Memorial Dr, Dallas, GA 30132-4120 | 2007-03-13 |
| 1154977882 | Athara Toussaint | Nurse Practitioner | 625 W Memorial Dr, Dallas, GA 30132-4120 | 2019-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205398526 | Away Lice Removal Specialists, LLC | Homeopath | 531 Hardee Street, Dallas, GA 30132 | 2019-04-04 |
| 1306313184 | Jessica Ramskogler | Counselor | 168 N. Johnson St, Suite 304, Dallas, GA 30132 | 2018-10-30 |
| 1912489337 | Michelle Jennifer Bergman | Lactation Consultant, Non-RN | 549 Waburn Walk, Dallas, GA 30132 | 2018-09-01 |
| 1457870099 | Dynamic Xray Solutions LLC | Clinic/Center | 77 Wellsey Way, Dallas, GA 30132 | 2017-09-14 |
| 1528438413 | Georgia Dental Professionals, PC | Dentist | 8709 Dallas Acworth Hwy, Dallas, GA 30132 | 2015-10-05 |
| 1013256130 | Paulding Auto Sales | Private Vehicle | 210 E Memorial Dr, Dallas, GA 30132 | 2013-02-08 |
| 1255613410 | Matthew Lerandal Talley | Chiropractor | 1305 Cedarcrest Road Suite#111, Dallas, GA 30132 | 2011-09-14 |
| 1003109422 | Ashlyn Drugs | Pharmacy | 1160 Old Harris Rd, Dallas, GA 30132 | 2011-05-18 |
| 1285942086 | Premier Hearing and Health Services Inc | Clinic/Center | 300 W I Parkway Ste 207, Premier Hearing and Health Services Inc, Dallas, GA 30132 | 2010-09-15 |
| 1578878963 | Karen Parris | Speech-Language Pathologist | 283 Red Hawk Way, Dallas, GA 30132 | 2010-08-10 |
| Find all providers in zip 30132 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316427420 | Angela Dee Killeen-hirschhorn | Family Medicine | 11909 Preston Rd Ste 286, Dallas, TX 75230-6140 | 2018-08-17 |
| 1457712937 | Martin Kaplan | Family Medicine | 4655 Christopher Pl, Dallas, TX 75204-1610 | 2016-03-11 |
| 1205177417 | Larry Wayne Gibbons | Family Medicine | 12330 Preston Road, Dallas, TX 75230 | 2013-03-13 |
| 1689847014 | Kenneth R Dority Do Pa | Family Medicine | 8414 Flower Meadow Dr, Dallas, TX 75243-7424 | 2008-04-07 |
| 1346435062 | Claire C Leggatt | Family Medicine | 5411 W Mockingbird Ln, Dallas, TX 75209-5607 | 2007-09-06 |
| 1447476874 | Nicolas Alfonso Padron | Family Medicine | 1000 Emerald Isle Dr, Dallas, TX 75218-3952 | 2007-04-17 |
| 1669594834 | Virginia Porras | Family Medicine | 2701 S Hampton Rd Ste 101, Dallas, TX 75224-2363 | 2007-04-06 |
| 1760528251 | James Bruce Wright | Family Medicine | 8585 N Stemmons Fwy, Suite 720, Dallas, TX 75247-3836 | 2007-01-30 |
| 1093897316 | Jennifer Ruth Kessmann | Family Medicine | 12240 Inwood Rd Ste 500, Dallas, TX 75244-8007 | 2006-10-19 |
| 1720172265 | Stefanie Joy Mccann | Family Medicine | 18800 Preston Road, Suite 314, Dallas, TX 75252 | 2006-10-02 |
| Find all providers in DALLAS | ||||
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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.