Individual
ANDREW THOMAS GLAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
96 JONATHAN LUCAS ST # 420, CHARLESTON, SC 29425-6712
(843) 792-4638
Mailing address
169 ASHLEY AVENUE, ROOM 202 MAIN HOSPITAL, MSC333, CHARLESTON, SC 29425
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
LL94941
SC
Other
Enumeration date
03/31/2025
Last updated
06/28/2025
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