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NPI Code Detail

MEDICARE: MRS. ELEANOR GLASPY-BENTON MD

MEDICARE: MRS. ELEANOR GLASPY-BENTON MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician033093GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730174905
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELEANOR GLASPY-BENTON MD
Provider Business Mailing Address
First Line : 8954 HOSPITAL DR
Second Line : SUITE 120-A
City : DOUGLASVILLE
State : GA
Zip : 30134-2272
Country : US
Telephone Number : 770-732-7987
Fax Number : 770-732-2989
Provider Business Practice Location Address
First Line : 8954 HOSPITAL DR
Second Line : SUITE 120-A
City : DOUGLASVILLE
State : GA
Zip : 30134-2272
Country : US
Telephone Number : 770-732-7987
Fax Number : 770-732-2989
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2005
Last Update Date : 07/08/2007

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