Individual
KIMBERLY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
267 LANGLEY DR # 1439, LAWRENCEVILLE, GA 30046-6907
(404) 854-4177
Mailing address
267 LANGLEY DR # 1439, LAWRENCEVILLE, GA 30046-6907
(404) 854-4177
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN274848
GA
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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