Organization · Type 2 NPI

Glendale Healthcare, LLC

Primary Care Clinic/Center · Hattiesburg, MS

NPI number 1063188167 Active

Practice location

2503 Glendale Ave
Hattiesburg, MS 39401-1073

Call (601) 582-5805 Map

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XNone listed

Primary Care Clinic/Center: Definition to come...

5 other providers at this address

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About NPI 1063188167

Glendale Healthcare, LLC's National Provider Identifier is 1063188167, issued on Aug 18, 2021. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Hattiesburg, MS. The record was last updated on Aug 18, 2021.