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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IVAN GLOTOV, PA

Active

IVAN GLOTOV, PA is a Physician Assistant healthcare provider located in STOCKBRIDGE, Georgia. NPI 1255126124 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · STOCKBRIDGE, GA

Registration Details

NPI Number
1255126124
Provider Type
Individual
Gender
Male
NPI Issued
Apr 11, 2025 (1.3283703811788 yrs)
Last Updated
Apr 11, 2025

Practice Information

Address
1240 EAGLES LANDING PKWY STE 300
STOCKBRIDGE, GA, 302815173
Browse GA providers · Browse ZIP 30281
Phone
7705064350
Fax
7705069860
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in STOCKBRIDGE, GA

Name Credential NPI
GRACE BOGERT PA-C 1831195262
MARTHA SIKES PA-C 1891791208
A MATTHEW BRUNNER PA-C 1811993223
KATHRYN JOAN SHELLEY P.A. 1215937578
MS. CYNTHIA ELLEN HUNT PA-C 1881687937
SHERRELL MONIQUE FORSTON PA C 1518923218
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.