Individual
HEIDI GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
3509 BRASELTON HWY BLDG F, DACULA, GA 30019-1027
(770) 614-6630
(770) 614-6684
Mailing address
3509 BRASELTON HWY BLDG F, DACULA, GA 30019-1027
(770) 614-6630
(770) 614-6684
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR007637
GA
Other
Enumeration date
09/28/2006
Last updated
07/28/2008
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