Individual
DR. GARY ALAN GLASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
315 WINN WAY, DECATUR, GA 30030-2111
(404) 299-9724
(404) 299-0382
Mailing address
315 WINN WAY, DECATUR, GA 30030-2111
(404) 299-9724
(404) 299-0382
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
033583
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004894531I
—
GA
05
—
000489453G
—
GA
05
—
000489453H
—
GA
05
—
00489453E
—
GA
01
—
0712312
UNITED HEALTHCARE
GA
01
—
160046633
RAILROAD MEDICARE
GA
01
—
2083457
AETNA
GA
01
—
598604
BCBS
GA
Enumeration date
07/02/2006
Last updated
12/15/2014
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