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Contact Information

FREDRIC C GLASS, MD
3987 LAWRENCEVILLE HWY STE B
TUCKER, GA30084-4526
 Phone: 770-270-8112
 Fax: 770-270-6841
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preventive Medicine/Occupational-Environmental Medicine

2083P0500X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for FREDRIC C GLASS · (Male)

NPI Number 1215068705
Status Active
Credentials MD
Entity Individual
Enumeration date 03/08/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 22409
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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