Individual
JAMON LAQUENTIN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
240 CORPORATE CENTER DR STE B, STOCKBRIDGE, GA 30281-7214
(770) 728-3990
(470) 481-6998
Mailing address
240 CORPORATE CENTER DR STE B, STOCKBRIDGE, GA 30281-7214
(770) 728-3990
(470) 481-6998
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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