Individual
DR. DEVONTE' L. GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5337 OLD NATIONAL HWY STE 120, COLLEGE PARK, GA 30349-3305
(770) 768-5339
(833) 790-2378
Mailing address
898 OAK ST SW UNIT 1213, ATLANTA, GA 30310-1964
(313) 405-2762
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR009984
GA
Other
Enumeration date
02/18/2018
Last updated
02/18/2018
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