Doctor Name: | MARTHA E GLENN |
NPI Number: | 1003922147 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 30861 |
Business Practice Address: | 6215 Humphreys Blvd Suite 100 Memphis, TN - 38120 |
Business Phone Number: | 9012279650 |
Business Fax Number: | |
Mailing Address: | Po Box 1000, Dept 34 Womens Diagnostic Group Pllc MEMPHIS |
State: | TN |
Postal Code: | 38120 |
Phone Number: | 9013838860 |
Fax Number: | 9013838985 |
NPI Enumeration Date: | 08/22/2006 |
NPI Last Update Date: | 07/24/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 30861 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |