Anthony Todd Glass PA-C

NPI 1710291612 - Physician Assistant - 363AS0400X

NPI Details
NPI 1710291612
Gender Male
Enumeration Date 08/03/2010
Last Updated 08/07/2013
Entity Type Individual
Active Over 6 years ago
Practice Location
890 W FARIS RD
SUITE 550
GREENVILLE SC, 29605-4253, US
Phone (864) 455-6800
Fax
Business Location
1 INDEPENDENCE PT
SUITE 212
GREENVILLE SC, 29615-4545, US
Phone (864) 797-6044
Fax
Toxanomy
Taxonomy Code 363AS0400X
License State South Carolina
License Number 1720
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According to our database, Mr. Anthony Todd Glass PA-C NPI is 1710291612, taxonomy code is 363AS0400X and license number is 1720, license state is located at South Carolina. Anthony Todd Glass PA-C physically located at 890 W Faris Rd, Greenville SC, 29605-4253. NPI Number Anthony Todd Glass PA-C has the Individual type.

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1710291612 NPI number is provided on an as is basis without warranty of any kind. 1710291612 is maintained by the National Plan & Provider Enumeration System. The contents of Anthony Todd Glass PA-C are for informational purposes only.