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Individual

PATIENCE CHANTEL GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
55 WHITCHER ST NE STE 130, MARIETTA, GA 30060-1156
(770) 428-0462
Mailing address
55 WHITCHER ST NE STE 130, MARIETTA, GA 30060-1156
(770) 428-0462

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD482236
PA
2086S0102X
Surgical Critical Care Physician
105497
GA
2086S0102X
Surgical Critical Care Physician
MD482236
PA
2086S0127X
Trauma Surgery Physician
Primary
105497
GA

Other

Enumeration date
03/26/2014
Last updated
12/16/2025
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