Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Glen Joseph Iannucci, MD

Individual provider Pediatrics Physician · NPI 1972787760

Dr. Glen Joseph Iannucci, MD is a Pediatrics Physician in Alpharetta, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3300 Old Milton Pkwy Ste 100
Alpharetta, GA 30005-2425
Phone: (404) 256-2593
Fax: (770) 488-9408
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Cardiology Physician (primary) Taxonomy 2080P0202X · Licence 064569 (GA)
Pediatrics Physician Taxonomy 208000000X · Licence 002845 (GA)

Record details

NPI number1972787760
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 28, 2007
Last updated in NPPESApril 23, 2026
Certification dateApril 23, 2026

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