Individual
LARRY GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7800 PROVIDENCE RD, STE 203, CHARLOTTE, NC 28226-2952
(704) 512-2610
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0032503
NC
Other
Enumeration date
07/19/2006
Last updated
04/06/2022
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