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Individual

ERIKA ZYNETTE GREENE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
35 JESSE HILL JR DR SE, ATLANTA, GA 30303-3032
(404) 696-1505
Mailing address
4433 CLEMENT DR SW, ATLANTA, GA 30331-4519
(404) 696-1505

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002367
GA

Other

Enumeration date
08/07/2012
Last updated
08/07/2012
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