Individual
KAREN MICHELLE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1101 OCILLA RD, DOUGLAS, GA 31533-2207
(912) 383-6966
(912) 389-2108
Mailing address
1101 OCILLA RD, DOUGLAS, GA 31533-2207
(912) 383-6966
(912) 389-2108
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
00303
GA
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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