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Individual

DR. TANNER SAMUEL GLASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
375 LIME QUARRY RD, MADISON, AL 35758-8938
(256) 258-9131
(256) 258-9131
Mailing address
375 LIME QUARRY RD STE 900, MADISON, AL 35758-8891
(256) 867-7205

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2603
AL

Other

Enumeration date
05/05/2019
Last updated
12/01/2025
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