Individual
KAYCEE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
6002 PROFESSIONAL PKWY, DOUGLASVILLE, GA 30134-5600
(770) 949-8558
Mailing address
4057 ROLLINGWOOD DR, SOUTHSIDE, AL 35907-0964
(256) 504-5062
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002914
GA
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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