Individual
CAROLYN GLOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1405 CLIFTON RD NE, ATLANTA, GA 30322-1060
(404) 785-6330
(404) 785-6266
Mailing address
1405 CLIFTON RD NE, ATLANTA, GA 30322-1060
(404) 785-6330
(404) 785-6266
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6389
GA
Other
Enumeration date
02/15/2012
Last updated
06/06/2022
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