Individual
MS. CATHERINE LARSEN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
227 RIVERSTONE DR STE D, CANTON, GA 30114-5256
(770) 720-7733
Mailing address
227 RIVERSTONE DR STE D, CANTON, GA 30114-5256
(770) 720-7733
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8766
GA
Other
Enumeration date
05/08/2018
Last updated
07/17/2023
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