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MR. MARK J GLACCUM DC
NPI 1205008786
Chiropractor in Thomasville, GA

Active since March 25, 2008
415 GORDON AVENUE, THOMASVILLE, GA 31792(229) 226-3101(229) 225-1745 Get Directions Write a Review

NPPES record last updated: March 25, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Mark J Glaccum Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MARK J GLACCUM DC (NPI 1205008786) is an individual chiropractor in Thomasville, Georgia, licensed in Georgia (CHIR002714) and active in the NPI registry since March 2008.

NPPES Registry Identity

NPI1205008786
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameMR. MARK J GLACCUMCredential: DC
Location Address415 GORDON AVENUEThomasville, GA 31792
Mailing Address415 Gordon AvenueThomasville, GA 31792 · (229) 226-3101 · Fax (229) 225-1745
Phone(229) 226-3101
Fax(229) 225-1745
Sole ProprietorYes
Enumeration DateMarch 25, 2008
✔ NPI 1205008786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in GA · CHIR002714
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
415 GORDON AVENUE, Thomasville, GA 31792
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Glaccum's NPI number?

The NPI number for Mark Glaccum is 1205008786. It was assigned to this individual provider in the NPPES registry on March 25, 2008.

Where is Mark Glaccum located?

Mark Glaccum practices at 415 Gordon Avenue, Thomasville, GA 31792. The listed phone number is (229) 226-3101.

What is Mark Glaccum's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Mark Glaccum was last updated on March 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.