Individual
MRS. KIMBERLY GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
619 S 8TH ST STE 200, GRIFFIN, GA 30224-4260
(770) 227-1587
(770) 227-1485
Mailing address
619 S 8TH ST STE 200, GRIFFIN, GA 30224-4260
(770) 227-1587
(770) 227-1485
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN213379
GA
Other
Enumeration date
04/08/2016
Last updated
04/08/2016
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