Whalio Doctors

NPI 1811952823

Paul J Glass, MD

Practitioner Ophthalmology Physician Tucker, GA

Practice location

Address
2256 Northlake Pkwy Suite 205, Tucker, GA 30084-4034
Phone
(770) 491-0105
Fax
(770) 934-6201
Mailing address
2256 Northlake Parkway Suite 205, Tucker, GA 30084-4004

Registered specialties

Ophthalmology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 026278 (GA)

Registry record

NPI
1811952823
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Apr 2006
Record last updated
12 Dec 2016

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.