Individual provider · NPI-1

Dr. J. Glenn Alewine, MD

Family Medicine · Columbia, SC

NPI number1992138051
StatusActive
Last updated in NPPESAug 13, 2013

Details

NPI
1992138051
Entity type
Individual (NPI-1)
Name
Dr. J. Glenn Alewine
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Aug 13, 2013
Last updated
Aug 13, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine20899SCYes

Practice location

4460 Broad River Rd
Columbia, SC 29210-4012

Phone 803-896-2181 · Fax 803-896-2934

Mailing address

4460 Broad River Rd
Columbia, SC 29210-4012

Phone 803-896-2181 · Fax 803-896-2934

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine providers in Columbia, SC