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Contact Information

GRACE GLASS
4350 US 421 S
LILLINGTON, NC27546-6760
 Phone: 910-893-1210
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for GRACE GLASS · (Female)

NPI Number 1073102760
Status Active
Credentials
Entity Individual
Enumeration date 01/16/2021
Last updated 12/24/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NC License # 0010-11587
Hospital affiliation(s)
  • NASH GENERAL HOSPITAL - (Acute Care)
    2460 CURTIS ELLIS DRIVE
    ROCKY MOUNT, NC 27804
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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