Provider Demographics
NPI:1679376222
Name:GLOVER, ALLISON MARIA
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:MARIA
Last Name:GLOVER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:474 TALLWOOD DR
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30083-4428
Mailing Address - Country:US
Mailing Address - Phone:404-862-3824
Mailing Address - Fax:
Practice Address - Street 1:474 TALLWOOD DR
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30083-4428
Practice Address - Country:US
Practice Address - Phone:404-862-3824
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-29
Last Update Date:2025-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program