IndividualActive
Joshua Glenn, MD
NPI 1184700239 · Pediatric Surgery Physician · Macon, GA
Provider details
- NPI number
- 1184700239
- Entity type
- Individual
- Primary specialty
- Pediatric Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 064794 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
840 Pine St Ste 510
Macon, GA 31201-7530
Phone: (478) 633-8383
Fax: (478) 633-8390
Approximate (ZIP-level) locationGet directions
Mailing address
840 Pine St Ste 510
Macon, GA 31201-7530
Registry dates
- Enumerated
- 2006-10-31
- Last updated
- 2020-09-09
- Certified
- 2020-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.