Richard Glass Jr. (NPI# 1780820753, PAC ID# 0547314924) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1780820753 |
| PAC ID by PECOS | 0547314924 |
| Professional Enrollment ID | I20090819000703 |
| Full Name | Richard Glass Jr. |
| Address |
20 Herrell Rd Villa Rica GA 30180-5527 |
| Gender | M |
| Graduation Year | 2004 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 20 Herrell Rd, Villa Rica, GA 30180-5527 |
| Street Address |
20 HERRELL RD |
| City | VILLA RICA |
| State | GA |
| Zip | 30180-5527 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric C Andrist | Otolaryngology | Chattahoochee Healthcare LLC | 705 Dallas Hwy, Suite 301, Villa Rica, GA 30180 |
| John Henry Burson Iii | Otolaryngology | Chattahoochee Healthcare LLC | 705 Dallas Hwy, Suite 301, Villa Rica, GA 30180 |
| Paul C Chukelu | Hospitalist | Apogee Medical Group Georgia | 601 Dallas Hwy, Villa Rica, GA 30180-1202 |
| Gina D Duggar | Nurse Practitioner | Northwest Georgia Oncology Centers, PC | 705 Dallas Hwy 203a, Villa Rica, GA 30180-1243 |
| Kenneth L Boss | Family Medicine | Tanner Medical Group Inc | 705 Dallas Hwy, Suite 101, Villa Rica, GA 30180-1243 |
| Vinaya K Puppala | Pain Management | 705 Dallas Hwy, Suite 205, Villa Rica, GA 30180-1243 | |
| Lawrence Price | Family Medicine | Tanner Medical Group Inc | 705 Dallas Hwy, Suite 101, Villa Rica, GA 30180-1243 |
| Evangelio Gonzalez | Family Medicine | Tanner Medical Group Inc | 705 Dallas Hwy, Suite 101, Villa Rica, GA 30180-1243 |
| Melissa D Walker | Nurse Practitioner | Northwest Georgia Oncology Centers, PC | 705 Dallas Hwy 203a, Villa Rica, GA 30180-1243 |
| Martha L Clabby | Pediatric Medicine | Emory Egleston Childrens Heart Center | 705 Dallas Hwy, Suite 204, Villa Rica, GA 30180-1243 |
| Find all physicians in zip 30180 | |||
| City | VILLA RICA |
| Zip Code | 30180 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | VILLA RICA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Richard Glass Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.