Provider Demographics
NPI:1386610632
Name:GLANCE, GREGORY L (MD)
Entity type:Individual
Prefix:
First Name:GREGORY
Middle Name:L
Last Name:GLANCE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 VANDERBILT PARK DR STE 100
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-2476
Mailing Address - Country:US
Mailing Address - Phone:828-258-0397
Mailing Address - Fax:828-277-7815
Practice Address - Street 1:4 VANDERBILT PARK DR STE 100
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2476
Practice Address - Country:US
Practice Address - Phone:828-258-0397
Practice Address - Fax:828-277-7815
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC32708207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
8935744OtherCAROLINA ACCESS
561565803OtherCIGNA HEALTHCARE OF NC
01760OtherCOMMERCIAL PRIVATE PAY
NC8935744Medicaid
010047893OtherMEDICARE METRAHEALTH
0470538OtherUHC
35744OtherBCBS
561565803OtherCIGNA HEALTHCARE OF NC
01760OtherCOMMERCIAL PRIVATE PAY