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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GLENN BANEGURA, M.D.

Active Sole Proprietor

DR. GLENN BANEGURA, M.D. is a Internal Medicine healthcare provider located in SNELLVILLE, Georgia. NPI 1770744989 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · SNELLVILLE, GA

Registration Details

NPI Number
1770744989
Provider Type
Individual
Gender
Male
NPI Issued
Jun 19, 2008 (18.170561758348 yrs)
Last Updated
Dec 9, 2025
Licenses
16816 (HI)
1796320 (WI)
036147581 (IL)
129782 (MT)
34002 (SC)
Sole Proprietor
Yes

Practice Information

Address
1700 MEDICAL WAY
HOSPITALIST OFFICE
SNELLVILLE, GA, 300782195
Browse GA providers · Browse ZIP 30078
Phone
6179016120
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Internal Medicine
Additional Specialty
Internal Medicine
Additional Specialty
Hospitalist
Additional Specialty
Internal Medicine

Other Internal Medicine Providers in SNELLVILLE, GA

Name Credential NPI
RUSSELL G WAGNER M.D. 1730168832
GAINNEOS R. GOLDIE MD 1194778878
DR. GERALD PAIGE ADLER M.D. 1740235092
JITHENDRANATH PALACHERLA MD 1346288735
DR. RAMANJANEYULU DRONAVALLI M.D. 1578502902
MR. PAUL E. L ALLEN SR. MD 1417990334
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.