NPI 1003230806

Thomas J Glancy, PAAA

Practitioner Anesthesiologist Assistant Lawrenceville, GA

Practice location

Address: 1000 Medical Center Blvd, Lawrenceville, GA 30046-0000
Phone: (770) 277-3056
Fax: (855) 204-5244
Mailing address: PO Box 551420, Fort Lauderdale, FL 33355-1420

Registered specialties (2)

Anesthesiologist Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence 007150 (GA)

Other Anesthesiologist Assistant providers in Georgia →

Anesthesiologist Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence 1506 (TX)

Registry record

NPI: 1003230806
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Feb 2014
Record last updated: 9 May 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.