GLEN P MOREHEAD MD PC
Osteopathic Medicine at College St, Griffin, GA

License number
Georgia 31076
Category
Osteopathic Medicine
Type
Hematology & Oncology
Owner
Name: DR. GLEN P MOREHEAD MD
Title: OWNER
Phone: (770) 229-6007
Address
Address
230D W College St, Griffin, GA 30224
National Provider ID: 1508977109
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GLEN P. MOREHEAD, M.D., PC

230 W College St #D, Griffin, GA 30224

Registration:
Jan 7, 1997
State ID:
K702276
Business type:
Domestic Professional Corporation
CFO:
P Glen Morehead (CFO), 1959 Emerald Dr, Jonesboro, GA 30236 (Physical)
Agent:
James Fortune,100 S Hl St, Griffin, GA (Physical)

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