| Organization Name: | GREGORY GLOVER |
| NPI Number: | 1043367303 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GREGORY GLOVER (OWNER) |
| Mailing Address: | 502-f South Lee St Americus |
| State: | GA US |
| Postal Code: | 31709 |
| Phone Number: | 2299286442 |
| Fax Number: | |
| NPI Enumeration Date: | 01/05/2007 |
| NPI Last Update Date: | 01/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 13766 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |