Individual
DR. TINA CHARLETTE LUCAS-GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
61 WHITCHER ST NE STE 4120, MARIETTA, GA 30060-1179
(470) 267-2980
(470) 986-7275
Mailing address
61 WHITCHER ST NE STE 4120, MARIETTA, GA 30060-1179
(470) 267-2980
(470) 986-7275
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
045285
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000802348E
—
GA
Enumeration date
09/30/2006
Last updated
04/07/2026
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