Individual
MR. MICHAEL SCOTT GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PARAMEDIC
Contact information
Practice address
315 HEATHROW DR, HIRAM, GA 30141-2341
(678) 567-2690
Mailing address
315 HEATHROW DR, HIRAM, GA 30141-2341
(678) 567-2690
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
P11175
GA
Other
Enumeration date
12/14/2017
Last updated
12/14/2017
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