Individual
BEVERLY GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 VAUGHN ST, TUSKEGEE, AL 36083-1923
(334) 421-2790
Mailing address
220 VAUGHN ST, TUSKEGEE, AL 36083-1923
(334) 421-2790
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
12/15/2023
Last updated
12/15/2023
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