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Search › Georgia › 207R00000X

Glenn Banegura, M.D

NPI 1770744989 · on the registry since 2008 · sole proprietor

Practice

Address
1700 Medical Way
Hospitalist Office
Snellville, GA 30078
Phone
(617) 901-6120
Organisation at this address
Emory Healthcare
Ehca Eastside, Llc
Eastside Pathology Pc
Ga-I Medical Services Pc
South Gwinnett Radiology Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
116

Additional practice sites

  • 1 Medical Center Dr, Lebanon, NH
  • 400 Palmetto Health Pkwy, Columbia, SC
  • 800 N Fant St, Anderson, SC

Registry record

Primary taxonomy
207R00000X
207R00000X
Also registered as
207R00000X
207R00000X
207R00000X
208M00000X
207R00000X
207R00000X
207R00000X
207R00000X
207R00000X
207R00000X
207R00000X
207R00000X
Licence states on file
HI, WI, IL, MT, SC, OH, MS, NV, NH, TN, AL, GA, LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-12-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia