Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GLENN EDWARD MACNICHOL, M.D.
ActiveDR. GLENN EDWARD MACNICHOL, M.D. is a Interventional Vascular Surgery healthcare provider located in ROCKY MOUNT, North Carolina. NPI 1245297811 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · ROCKY MOUNT, NC
Registration Details
- NPI Number
- 1245297811
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 27, 2006 (20.308888575586 yrs)
- Last Updated
- May 6, 2020
- Licenses
-
34389 (NC)34389 (NC)
Practice Information
- Address
-
110 PATRICK CTROCKY MOUNT, NC, 278041743Browse NC providers · Browse ZIP 27804
- Phone
- 2524430400
- Fax
- 2524430572
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
- Additional Specialty
- Interventional Vascular Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.