Individual
MELINDA GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
915 GORDON AVE, THOMASVILLE, GA 31792-6614
(229) 228-2823
(229) 551-8722
Mailing address
915 GORDON AVE, THOMASVILLE, GA 31792-6614
(229) 228-2823
(229) 551-8722
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005203
GA
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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