IVAN GLOTOV

STOCKBRIDGE, GA
NPI1255126124
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2025-04-11
Last Update Date2025-04-11
Business Address
IVAN GLOTOV PA
1240 EAGLES LANDING PKWY STE 300
STOCKBRIDGE, GA 30281-5173
Phone number: 770-506-4350
Mailing Address
IVAN GLOTOV PA
3100 INTERSTATE NORTH CIR SE STE 500
ATLANTA, GA 30339-2296
Phone number: 678-996-7230