Dr. Glenn Banegura, M.D.
Internal Medicine in Snellville, GA. Individual provider (NPI-1).
NPI number1770744989
StatusActive
Last updated in NPPESDec 9, 2025
Details
- NPI
- 1770744989
- Entity type
- Individual (NPI-1)
- Name
- Dr. Glenn Banegura
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 19, 2008
- Certification date
- Dec 9, 2025
- Last updated
- Dec 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 35270 | NH | Yes |
| 207R00000X | Internal Medicine | 16816 | HI | |
| 207R00000X | Internal Medicine | 1796320 | WI | |
| 207R00000X | Internal Medicine | 036147581 | IL | |
| 208M00000X | Hospitalist | 129782 | MT | |
| 207R00000X | Internal Medicine | 34002 | SC | |
| 207R00000X | Internal Medicine | 35C.000288 | OH | |
| 207R00000X | Internal Medicine | 25734 | MS | |
| 207R00000X | Internal Medicine | 23114 | NV | |
| 207R00000X | Internal Medicine | 67897 | TN | |
| 207R00000X | Internal Medicine | 31509 | AL | |
| 207R00000X | Internal Medicine | 66752 | GA | |
| 207R00000X | Internal Medicine | 334379 | LA |
Practice location
1700 Medical WayHospitalist Office
Snellville, GA 30078-2195
Phone 617-901-6120
Mailing address
1700 Medical WaySnellville, GA 30078-2195
Other practice locations
400 Palmetto Health Pkwy
Columbia, SC 29212-1760
Columbia, SC 29212-1760
Phone 617-901-6120
800 N Fant St
Anderson, SC 29621-5708
Anderson, SC 29621-5708
Phone 617-901-6120
1 Medical Center Dr
Lebanon, NH 03756-1000
Lebanon, NH 03756-1000
Phone 603-650-5000 · Fax 603-640-1228
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