| Doctor Name: | GLENDA LAINE ELOGE |
| NPI Number: | 1003111824 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | RN111985 NP |
| Business Practice Address: | 5353 Reynolds St Ste 300 Savannah, GA - 314056015 |
| Business Phone Number: | 9123556005 |
| Business Fax Number: | 9123555643 |
| Mailing Address: | 5353 Reynolds St, Ste 300 SAVANNAH |
| State: | GA |
| Postal Code: | 314056015 |
| Phone Number: | 9123556005 |
| Fax Number: | 9123555643 |
| NPI Enumeration Date: | 01/26/2011 |
| NPI Last Update Date: | 01/26/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LX0001X |
| License Number: | RN111985 NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Obstetrics & Gynecology |
| Taxonomy Definition: | |