Individual
MEAGAN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1405 CLIFTON RD NE, ATLANTA, GA 30322-1060
(404) 785-6330
Mailing address
1405 CLIFTON RD NE, ATLANTA, GA 30322-1060
(404) 785-6330
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN247066
GA
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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