Doctor Name: | ASHLEIGH LYNN GLASS |
NPI Number: | 1043576325 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | |
Business Practice Address: | 5354 Reynolds St Ste 424 Savannah, GA - 314056007 |
Business Phone Number: | 9128195999 |
Business Fax Number: | 9128195980 |
Mailing Address: | Po Box 15849, SAVANNAH |
State: | GA |
Postal Code: | 314162549 |
Phone Number: | 9128195999 |
Fax Number: | 9128195980 |
NPI Enumeration Date: | 04/11/2012 |
NPI Last Update Date: | 10/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |