Ivan Glotov, PA
NPI #1255126124 in Stockbridge, Georgia
Provider Information
- NPI Number
- 1255126124
- Entity Type
- Individual
- Name
- Ivan Glotov, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Apr 11, 2025
- Last Updated
- Apr 11, 2025
Practice Location
- Address
- 1240 EAGLES LANDING PKWY STE 300
- City
- Stockbridge
- State
- Georgia
- ZIP Code
- 30281-5173
- Phone
- (770) 506-4350
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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