KENNETH ANDREW GLASS

ATLANTA, GA
NPI1356822118
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367H00000X Anesthesiologist Assistant
(Licence: GA  8017)
Enumeration Date2018-08-28
Last Update Date2018-08-28
Business Address
KENNETH ANDREW GLASS CAA
1000 JOHNSON FY RD NE
ATLANTA, GA 30342-1606
Phone number: 559-676-6956
Mailing Address
KENNETH ANDREW GLASS CAA
4675 OLD STILESBORO RD NW
ACWORTH, GA 30101-4067
Phone number: 559-676-6956
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