Individual
CHRISTOPHER GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
149 26TH ST NW, APT 1206, ATLANTA, GA 30309-2065
(731) 343-2266
Mailing address
149 26TH ST NW, APT 1206, ATLANTA, GA 30309-2065
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
IR60287892
WA
Other
Enumeration date
05/12/2016
Last updated
05/12/2016
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