| Mr Justin Matthew Glaze, RN | |
|
106 Pearl Dr, La Fayette, GA 30728-7509 | |
| (706) 620-0200 | |
| (706) 620-0300 |
| Full Name | Mr Justin Matthew Glaze |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse |
| Location | 106 Pearl Dr, La Fayette, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144955956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN268132 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Justin Matthew Glaze, RN 106 Pearl Dr, La Fayette, GA 30728-7509 Ph: (706) 620-0200 | Mr Justin Matthew Glaze, RN 106 Pearl Dr, La Fayette, GA 30728-7509 Ph: (706) 620-0200 |
Bonnie Lynn Rose, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 806 E Villanow St, La Fayette, GA 30728 Phone: 706-639-2108 | |
Debra Ann Shepherd, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 501 Mize St, La Fayette, GA 30728 Phone: 706-638-5580 Fax: 706-639-2071 |