Organization
GREENE LIFE HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT GREENE DC (CHIROPRACTOR)
(770) 615-5525
Entity
Organization
Contact information
Practice address
206 PICADILLY PL, CANTON, GA 30114-8794
(770) 615-5525
Mailing address
206 PICADILLY PL, CANTON, GA 30114-8794
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
11/11/2022
Last updated
11/11/2022
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