Individual
STANISLAV KOZLOVSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3280 PEACHTREE RD NE STE 115, ATLANTA, GA 30305-2433
(888) 663-6331
(415) 252-7176
Mailing address
1 EMBARCADERO CTR STE 1900, SAN FRANCISCO, CA 94111-3723
(415) 658-6791
(415) 252-7176
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9744
GA
Other
Enumeration date
07/21/2020
Last updated
04/18/2025
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