Paul J Glass

NPI #1639340557 in Tucker, Georgia

Provider Information

NPI Number: 1639340557
Entity Type: Organization
Organization Name: Paul J Glass
Primary Specialty: Eyewear Supplier
Enumeration Date: Mar 19, 2008
Last Updated: Mar 19, 2008

Practice Location

Address: 2163 NORTHLAKE PKWY
Address 2: STE 102
City: Tucker
State: Georgia
ZIP Code: 30084-4102
Phone: (770) 491-0105

Authorized Official

Name: PAUL J GLASS
Title: DIRECT OWNER
Phone: (770) 491-0105

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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