MEDICARE: DR. TANNER SAMUEL GLASS DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2603	AL

General Provider Information

NPI Number	:	1497310585
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TANNER SAMUEL GLASS DC

Provider Business Mailing Address
First Line	:	375 LIME QUARRY RD STE 900
Second Line	:
City	:	MADISON
State	:	AL
Zip	:	35758-8891
Country	:	US
Telephone Number	:	256-867-7205
Fax Number	:

Provider Business Practice Location Address
First Line	:	375 LIME QUARRY RD
Second Line	:
City	:	MADISON
State	:	AL
Zip	:	35758-8938
Country	:	US
Telephone Number	:	256-258-9131
Fax Number	:	256-258-9131

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2019
Last Update Date	:	12/01/2025

Similar Medicare Providers

1982883831 — CSTL, INC.
Practice Location Address:

8938 MADISON AVE
FAIR OAKS, CA
95628-4010

Practice Phone: 916-961-2691
Practice Fax:

1184588568 — MS. JADA HERREL RBT
Practice Location Address:

100 SPENRYN DR
MADISON, AL
35758-1890

Practice Phone: 256-772-4400
Practice Fax:

1912869835 — NICOLE KATLYN BUCCIERI
Practice Location Address:

339 GREENSTONE DR
MADISON, AL
35758-8317

Practice Phone: 256-425-6516
Practice Fax:

1922960863 — DIONNE LASHUN WHITE
Practice Location Address:

100 SPENRYN DR
MADISON, AL
35758-1890

Practice Phone: 256-772-4400
Practice Fax:

1235994062 — YATARRA M MCQUEEN
Practice Location Address:

112 CHEEKWOOD DR
MADISON, AL
35758-3016

Practice Phone: 334-531-1617
Practice Fax:

1033478482 — TINA K JONES-DAVIS LCSW
Practice Location Address:

350 SUN TEMPLE DR
MADISON, AL
35758-5919

Practice Phone: 256-288-3333
Practice Fax: 256-429-9411

Directions to “ DR. TANNER SAMUEL GLASS DC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.