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Contact Information

MARTHA E GLENN, MD
6215 HUMPHREYS BLVD
SUITE 100
MEMPHIS, TN38120
 Phone: 901-227-9650
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for MARTHA E GLENN · (Female)

NPI # 1003922147
Status Active
Credentials MD
Entity Individual
Enumeration date 08/22/2006
Last updated 07/24/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 30861
  • AR Medicaid 149402001
  • MS Medicaid 05720002
  • TN Medicaid 3838028
  • AR Other 98185 BCBS
  • TN Other 4053347 BCBS
  • TN Other 300138547 MEDICARE RR
Hospital affiliation(s)
  • BAPTIST MEMORIAL HOSPITAL - (Acute Care)
    6019 WALNUT GROVE ROAD
    MEMPHIS, TN 38120
  • BAPTIST MEMORIAL HOSPITAL TIPTON - (Acute Care)
    1995 HIGHWAY 51 S
    COVINGTON, TN 38019
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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