IndividualActive
Glenn Kerwin, MD
NPI 1265408454 · Vascular & Interventional Radiology Physician · Marietta, GA
Provider details
- NPI number
- 1265408454
- Entity type
- Individual
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 040704 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
790 Church St Ne
Ste 400
Marietta, GA 30060-7282
Phone: (770) 952-8899
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3157
Indianapolis, IN 46206-3157
Registry dates
- Enumerated
- 2006-02-27
- Last updated
- 2023-11-20
- Certified
- 2023-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.