Glenda McCormick
Individual provider Active NPI Other Technician · Pope Army Airfield, NC
NPI 1972412930 · NPPES record last updated Sep 4, 2026
Key facts
- NPI
- 1972412930
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Other Technician 247200000X
- Practice address
- 383 Maynard St
BLDG 307
Pope Army Airfield, NC 28308 - Phone
- (910) 907-6579
- NPI assigned
- Sep 4, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Yes |
Addresses
Primary practice location
383 Maynard St
BLDG 307
Pope Army Airfield, NC 28308
Mailing address
383 Maynard St
BLDG 307
Pope Army Airfield, NC 28308
Phone (910) 907-6579
Other providers in Pope Army Airfield, NC
All providers in Pope Army Airfield, NC · Other Technician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.