Most Relevant Information
Provider Data
| NPI Number: | 1003230806 |
| Provider Name: | THOMAS J GLANCY PA-AA |
| Entity Type: | Individual |
| Taxonomy Code: | 367H00000X |
| Specialty: | Anesthesiologist Assistant |
| License Number: | 007150 |
Most Important Dates
| Enumeration Date: | 02/13/2014 |
| Last Updated: | 05/09/2014 |
Provider Practice Location
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE
GA
300460000
Practice Location Phone/Fax
| Phone: | 7702773056 |
| Fax: | 8552045244 |
Provider Mailing Location
PO BOX 551420
FORT LAUDERDALE
FL
333551420
Provider Mailing Phone/Fax
| Phone: | 8002433839 |
| Fax: | 9548392569 |