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NPI Code Detail

MEDICARE: LEILA YVETTE GLOVER

MEDICARE: LEILA YVETTE GLOVER
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
1390200000XStudent in an Organized Health Care Education/Training ProgramGA

General Provider Information

NPI Number : 1336087626
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEILA YVETTE GLOVER
Provider Business Mailing Address
First Line : 720 WESTVIEW DR SW
Second Line :
City : ATLANTA
State : GA
Zip : 30310-1458
Country : US
Telephone Number : 404-616-1692
Fax Number :
Provider Business Practice Location Address
First Line : 720 WESTVIEW DR SW
Second Line :
City : ATLANTA
State : GA
Zip : 30310-1458
Country : US
Telephone Number : 404-616-1692
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2026
Last Update Date : 03/25/2026

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Directions to “ LEILA YVETTE GLOVER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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