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Individual

DR. SUSAN MOBLEY GREENE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
101 W MULBERRY BLVD STE 100, SAVANNAH, GA 31407-3507
(912) 350-5937
(912) 350-3483
Mailing address
101 W MULBERRY BLVD STE 100, SAVANNAH, GA 31407-3507
(912) 350-5937
(912) 350-3483

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
074041
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003162507A
GA
Enumeration date
02/07/2011
Last updated
12/27/2018
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