Individual
JASON L. GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7666 CHARLOTTE HWY, STE 120, INDIAN LAND, SC 29707-7000
(803) 431-8220
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2008-00688
NC
Other
Enumeration date
01/10/2006
Last updated
07/15/2024
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