Shelle Rae Glover
Family Doctor
2370 Rockmart Hwy
Cedartown
, Georgia 30125-6029
Shelle Rae Glover
Family Doctor
2370 Rockmart Hwy
Cedartown
, Georgia 30125-6029
(706) 509-3000
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Shelle Rae Glover
- 420 E 2nd Ave Suite 103
- Rome, GA
- Zip : 30161-3209
- Phone : (706) 509-3000
Second Address
- Shelle Rae Glover
- 2370 Rockmart Hwy
- Cedartown, GA
- Zip : 30125-6029
- Fax : (770) 748-7819
- Phone : (770) 748-7818
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Is Shelle Rae Glover a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 073349 | GA |
National Provider Identifier
| NPI | 1003110743 |
|---|---|
| Provider Name | Shelle Rae Glover |
| First Address | Rome, GA 30161-3209 |
| Second Address | Cedartown, GA 30125-6029 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/01/2011 |
| Last Update Date | 09/08/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 003158366A | (05) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.