Organization
BRIAN GLASS MD OB/GYN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN A GLASS MD (OWNER)
(706) 428-3822
Entity
Organization
Contact information
Practice address
1109 BURLEYSON RD STE 205, DALTON, GA 30720-3094
(706) 428-3822
(706) 428-3864
Mailing address
1109 BURLEYSON RD STE 205, DALTON, GA 30720-3094
(706) 428-3822
(706) 428-3864
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
032911
GA
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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