Individual
TUNISIA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1512 SAINT IVES XING, STOCKBRIDGE, GA 30281-9006
(229) 254-6005
Mailing address
1512 SAINT IVES XING, STOCKBRIDGE, GA 30281-9006
(229) 254-6005
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN100132
GA
Other
Enumeration date
01/21/2026
Last updated
01/21/2026
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