Individual
MR. ANTHONY TODD GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
890 W FARIS RD, SUITE 550, GREENVILLE, SC 29605-4253
(864) 455-6800
(864) 455-6825
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1720
SC
363A00000X
Physician Assistant
AMD-1089
HI
363AS0400X
Surgical Physician Assistant
1720
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1287PA
—
SC
Enumeration date
08/03/2010
Last updated
04/24/2025
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