Individual
SHERITA PATRICIA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN/RCIS
Contact information
Practice address
397 BRADY ROAD, AMERICUS, GA 31709
(229) 395-1092
Mailing address
397 BRADY RD, AMERICUS, GA 31709-5541
(229) 395-1092
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
343900000X
TAXONOMY
GA
Enumeration date
10/31/2020
Last updated
10/31/2020
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