Mark Dwight Glenn in Myrtle Beach - Psychiatry
Mark Dwight Glenn - NPI 1740294925
Mark Dwight Glenn is a Psychiatry in Myrtle Beach, South Carolina. Mark Dwight Glenn practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Mark Dwight Glenn is 1740294925. The last update date is 2015-09-23.
Mark Dwight Glenn's current location address is 3381 Phillis Blvd, Myrtle Beach, South Carolina. You can contact this provider via phone number 8434770177 and fax number 8438391791. The mailing address for Mark Dwight Glenn is 3381 Phillis Blvd, Myrtle Beach, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Dwight Glenn |
|---|---|
| Address | 3381 Phillis Blvd, Myrtle Beach, South Carolina |
| Phone Number | 8434770177 |
| Fax Number | 8438391791 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1740294925 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2015-09-23 |
Provider Mailing Address Detail
| Address | 3381 Phillis Blvd |
|---|---|
| City | Myrtle Beach |
| State | South Carolina (SC) |
| Post Code | 295771560 |
| Phone Number | 8434770177 |
| Fax Number | 8438391791 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 13811 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Post Comment/ Review Below
What is the unique identifier code issued to Mark Dwight Glenn by the Centers for Medicare & Medicaid Services?
The Mark Dwight Glenn has been assigned the NPI (National Provider Identifier) 1740294925. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Mark Dwight Glenn's facilities are geographically located?
The facilities of Mark Dwight Glenn are physically situated at the following location: 3381 Phillis Blvd, Myrtle Beach, SC, 295771560.
What is Mark Dwight Glenn's area of expertise and its corresponding taxonomy classification?
The Mark Dwight Glenn's field of specialization is Psychiatry, and it falls under the taxonomy code 2084P0800X, which categorizes healthcare providers based on their areas of practice.
On what date did the Mark Dwight Glenn receive its 1740294925 assignment from the Centers for Medicare & Medicaid Services?
The Mark Dwight Glenn was assigned its 1740294925 by the Centers for Medicare & Medicaid Services on 2006-07-27.
As of what date were the details pertaining to Mark Dwight Glenn last refreshed?
The information related to the Mark Dwight Glenn, including its address, specialty, and other relevant details, was last updated on 2015-09-23.