Benita Y Glover
Driver in Mcdonough, GA. Individual provider (NPI-1).
NPI number1447925664
StatusActive
Last updated in NPPESAug 10, 2021
Details
- NPI
- 1447925664
- Entity type
- Individual (NPI-1)
- Name
- Benita Y Glover
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 10, 2021
- Certification date
- Feb 20, 2021
- Last updated
- Aug 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | 058988264 | GA | Yes |
Practice location
80 W Independence CirMcdonough, GA 30253-6550
Phone 678-724-6454
Mailing address
80 W Independence CirMcdonough, GA 30253-6550
Phone 678-724-6454
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