Individual
DR. JONATHAN D GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1365 CLIFTON RD NE, ATLANTA, GA 30322-1013
(404) 778-3444
Mailing address
40 MADDOX DR NE, ATLANTA, GA 30309-2733
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
42254
GA
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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