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Contact Information

GLENN N CARLOS, MD
4700 WATERS AVE STE 403
SAVANNAH, GA31404-6220
 Phone: 912-273-1150
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for GLENN N CARLOS · (Male)

NPI # 1083705842
Status Active
Credentials MD
Entity Individual
Enumeration date 09/27/2006
Last updated 05/10/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 94975
  • IN License # 01046364A
  • IN Medicaid 200013190
  • IN Other 000000834804 ANTHEM PIN
Hospital affiliation(s)
  • INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL - (Acute Care)
    2401 UNIVERSITY AVE
    MUNCIE, IN 47303
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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