Individual
SVETLANA KOZLOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1250 JESSE JEWELL PKWY SE STE 200, GAINESVILLE, GA 30501-3865
(770) 297-7277
Mailing address
11350 MCCORMICK RD, EXECUTIVE PLAZA 1, SUITE 501, HUNT VALLEY, MD 21031
(410) 329-1070
(410) 329-1054
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN252782
GA
Other
Enumeration date
09/30/2019
Last updated
03/11/2025
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