Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GLEN JOSEPH IANNUCCI, M.D.
ActiveDR. GLEN JOSEPH IANNUCCI, M.D. is a Pediatric Cardiology healthcare provider located in ALPHARETTA, Georgia. NPI 1972787760 is currently active in the NPPES registry. Verify at CMS.
Pediatric Cardiology · ALPHARETTA, GA
Registration Details
- NPI Number
- 1972787760
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 28, 2007 (18.441570826166 yrs)
- Last Updated
- Jan 22, 2021
- Licenses
-
002845 (GA)064569 (GA)
Practice Information
- Address
-
3300 OLD MILTON PKWY STE 100ALPHARETTA, GA, 300052425Browse GA providers · Browse ZIP 30005
- Phone
- 4042562593
- Fax
- 7704889408
- Primary Specialty
-
Pediatric Cardiology
2080P0202X
- Additional Specialty
- Pediatric Cardiology
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.