Individual
ROGER IVAN GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
918 OAKDALE RD NE, ATLANTA, GA 30307-1212
(470) 433-6266
Mailing address
918 OAKDALE RD NE, ATLANTA, GA 30307-1212
(470) 433-6266
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18654
GA
Other
Enumeration date
12/05/2025
Last updated
12/05/2025
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