| Lee S Glenn, MD | |
| 
					703 Verdae Blvd, Greenville, SC 29607  | |
| (864) 288-5402 | |
| (864) 234-7961 | 
| Full Name | Lee S Glenn | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics | 
| Location | 703 Verdae Blvd, Greenville, South Carolina | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1770921421 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 35676 (South Carolina) | Primary | 
| Entity Name | Musc Affiliate Physicians | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1700465648 PECOS PAC ID: 6305241027 Enrollment ID: O20210818002996  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lee S Glenn, MD 841 S. Buncombe Rd, Greer, SC 29650 Ph: (864) 752-0507  | Lee S Glenn, MD 703 Verdae Blvd, Greenville, SC 29607 Ph: (864) 288-5402  | 
Angela Murray Young, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 20 Medical Ridge Dr, Greenville, SC 29605 Phone: 864-864-2207 Fax: 864-241-9211  | |
Dominic Bruno Gault, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 200 Patewood Dr, Ste A330, Greenville, SC 29615 Phone: 864-454-5660 Fax: 864-241-9233  | |
Anna Mezey Brownstein, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 20 Medical Ridge Dr, Greenville, SC 29605 Phone: 864-220-7270 Fax: 864-241-9211  | |
Dr. Cristina Espindula Fernandes, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 900 W Faris Rd, 2nd Floor, Greenville, SC 29605 Phone: 864-455-8898 Fax: 864-455-5164  | |
Mrs. Linda S Parker, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 131 Commonwealth Dr, Suite 310, Greenville, SC 29615 Phone: 864-288-5402 Fax: 864-234-7961  | |
Justin Brantley Holladay, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7844 Fax: 864-455-7848  | |
Brittany Walker,  Pediatrics Medicare: Medicare Enrolled Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7895  |