Glass, Gregory Lee
Glass, Gregory Lee is an sole proprietor health care provider with primary practice located at 125 W Catawba Ave , Mount Holly NC 28120-1601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Glass, Gregory Lee can be contacted via phone (704) 827-3014.Contact Information
Primary practice address
125 W Catawba Ave
Mount Holly NC 28120-1601
Phone: (704) 827-3014
Fax: (704) 822-9114
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 9401198 | North Carolina |
Profile Details
| NPI number | 1558353896 |
|---|---|
| LBN Legal business name | Glass, Gregory Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | Jun 10th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558353896 | NPPES |
| North Carolina | MEDICAID | 8935752 |
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