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NPI Code Detail

MEDICARE: ANNA GUITTON GLENN PA-C

MEDICARE: ANNA GUITTON GLENN PA-C
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
1363A00000XPhysician Assistant3388SC

General Provider Information

NPI Number : 1619519360
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA GUITTON GLENN PA-C
Provider Business Mailing Address
First Line : 1625 HOSPITAL DR
Second Line :
City : MOUNT PLEASANT
State : SC
Zip : 29464-3891
Country : US
Telephone Number : 843-849-1551
Fax Number :
Provider Business Practice Location Address
First Line : 1625 HOSPITAL DR
Second Line :
City : MT PLEASANT
State : SC
Zip : 29464-3698
Country : US
Telephone Number : 843-849-1551
Fax Number : 843-884-0629
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2019
Last Update Date : 02/04/2026

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Directions to “ ANNA GUITTON GLENN PA-C” Practice Location

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