IndividualActive
Glen Henry, M.D., F.A.C.C.
NPI 1720077324 · Interventional Cardiology Physician · Gainesville, GA
Provider details
- NPI number
- 1720077324
- Entity type
- Individual
- Primary specialty
- Interventional Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D., F.A.C.C.
- Sex
- Male
- Sole proprietor
- No
- License
- 033328 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
200 S Enota Dr Ne Ste 200
Gainesville, GA 30501-3466
Phone: (770) 534-2020
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 742616
Atlanta, GA 30374-2616
Additional practice locations (3)
- 2 Devine StreetSuite # 1North Haven, CT 06473-2193Phone: (203) 789-2272Fax: (203) 865-8614
- 950 Warren Ave Ste 201East Providence, RI 02914-1432Phone: (401) 606-1004Fax: (401) 606-1153
- 593 Eddy StProvidence, RI 02903-4923Phone: (401) 444-5891Fax: (401) 444-8158
Registry dates
- Enumerated
- 2005-10-17
- Last updated
- 2026-04-14
- Certified
- 2026-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.