Individual provider · Type 1 NPI
Devonte' L. Glass, DC
Chiropractor · College Park, GA
NPI number
1063912830
Active
Practice location
5337 Old National Hwy Ste 120
College Park, GA 30349-3305
Fax (833) 790-2378
Mailing address
898 Oak St SW Unit 1213
Atlanta, GA 30310-1964
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CHIR009984 (GA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1063912830
Devonte' L. Glass, DC's National Provider Identifier is 1063912830, issued on Feb 18, 2018. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in College Park, GA. The record was last updated on Feb 18, 2018.