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Search › Georgia › 103TC1900X

Gary Glass, PHD

NPI 1518362565 · on the registry since 2014 · sole proprietor

Practice

Address
125 Clairemont Ave Ste 500
Decatur, GA 30030
Phone
(919) 490-1952
Organisation at this address
Psychemic
Aadd, Inc.
Haven Autism
Intown Dry Eye Care Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
103TC1900X
103TC1900X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-08-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia