Individual
GILBERT JERMAINE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
732 LYNN MILAM LN, CONYERS, GA 30094-4194
(404) 989-2379
Mailing address
732 LYNN MILAM LN, CONYERS, GA 30094-4194
(404) 989-2379
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
GA
Other
Enumeration date
01/29/2026
Last updated
01/29/2026
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