Individual
PAUL J GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2256 NORTHLAKE PKWY, SUITE 205, TUCKER, GA 30084-4034
(770) 491-0105
(770) 934-6201
Mailing address
2256 NORTHLAKE PARKWAY, SUITE 205, TUCKER, GA 30084-4004
(770) 491-0105
(770) 934-6201
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
026278
GA
Other
Enumeration date
04/20/2006
Last updated
12/12/2016
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