Glass, Anthony Todd

Glass, Anthony Todd is an individual health care provider with primary practice located at 890 W Faris Rd Suite 550, Greenville SC 29605-4253. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Glass, Anthony Todd can be contacted via phone (864) 455-6800.

Contact Information

Primary practice address
890 W Faris Rd Suite 550 Greenville SC 29605-4253
Phone: (864) 455-6800
Fax: (864) 455-6825
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1720 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1720 South Carolina

Profile Details

NPI number 1710291612
LBN Legal business name Glass, Anthony Todd
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2010
Last updated Jun 30th, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710291612 NPPES
South Carolina MEDICAID 1287PA

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