Carter James Glenn, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Charleston, SC. Individual provider (NPI-1).
NPI number1962396879
StatusActive
Last updated in NPPESJun 26, 2025
Details
- NPI
- 1962396879
- Entity type
- Individual (NPI-1)
- Name
- Carter James Glenn
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 5, 2025
- Certification date
- Jun 26, 2025
- Last updated
- Jun 26, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | LL94839 | SC | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
169 Ashley Ave Rm 202Charleston, SC 29425-8905
Phone 843-792-6296
Mailing address
169 Ashley Ave Rm 202Charleston, SC 29425-8905
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