Individual
MS. THELISHA M GLOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-S
Contact information
Practice address
720 WESTVIEW DR SW, ATLANTA, GA 30310-1458
(404) 756-1959
Mailing address
1650 LONG ACRE DR, LOGANVILLE, GA 30052-3377
(404) 942-7586
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11375
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2021
Last updated
07/12/2023
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