Individual
JASON WALTER GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
15 MEDICAL DR NE BLDG B, CARTERSVILLE, GA 30121-8005
(770) 382-1736
Mailing address
15 MEDICAL DR NE BLDG B, CARTERSVILLE, GA 30121-8005
(770) 382-1736
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
180668
—
Other
Enumeration date
07/03/2018
Last updated
07/03/2018
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