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Individual

ANGELA DAWN GREENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
720 TRANSIT AVE STE 101, CANTON, GA 30114-2544
(770) 720-7000
(770) 720-7055
Mailing address
720 TRANSIT AVE STE 101, CANTON, GA 30114-2544
(770) 720-7000
(770) 720-7055

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN117392
GA

Other

Enumeration date
03/11/2022
Last updated
03/11/2022
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