Individual
MISS KRISTEN GLASGOW-PETELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(914) 882-5791
Mailing address
720 WESTVIEW DR SW, ATLANTA, GA 30310-1458
(914) 882-5791
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
054422
CT
2086S0102X
Surgical Critical Care Physician
Primary
102219
GA
2086S0102X
Surgical Critical Care Physician
BP1-0050711
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/24/2009
Last updated
01/28/2025
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