Individual provider · Type 1 NPI

Ivan Glotov, PA

Physician Assistant · Stockbridge, GA

NPI number 1255126124 Active

Practice location

1240 Eagles Landing Pkwy Ste 300
Stockbridge, GA 30281-5173

Call (770) 506-4350 Map

Fax (770) 506-9860

Mailing address

3100 Interstate North Cir SE Ste 500
Atlanta, GA 30339-2296

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1255126124

Ivan Glotov, PA's National Provider Identifier is 1255126124, issued on Apr 11, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Stockbridge, GA. The record was last updated on Apr 11, 2025.