Individual
DR. SANDEA ANESSA GREENE-HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
203 MEDICAL BLVD, STOCKBRIDGE, GA 30281-7218
(678) 289-7710
Mailing address
2675 N DECATUR RD, SUITE 110, DECATUR, GA 30033-6131
(770) 979-8080
(770) 979-8099
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
53450
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
297119976A
—
GA
05
—
297119976C
—
GA
Enumeration date
05/06/2006
Last updated
11/11/2022
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