Individual
EMERALD RENEE GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGAC-NP
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 616-1000
Mailing address
573 MARIPOSA LN, MCDONOUGH, GA 30253-3031
(404) 287-6281
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN253964
GA
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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