Individual
STUART GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
401 N MAIN ST, KENANSVILLE, NC 28349-8801
(910) 296-0941
Mailing address
401 N MAIN ST, KENANSVILLE, NC 28349-8801
(910) 296-0941
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2021-02238
NC
207P00000X
Emergency Medicine Physician
80140
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2015
Last updated
09/02/2021
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