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Individual

DR. TIARA TIKELL GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP-AGPCNP

Contact information

Practice address
101 HEART DR, GREENVILLE, NC 27834-8982
(252) 744-2045
(252) 744-3525
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5014483
NC

Other

Enumeration date
05/29/2021
Last updated
10/04/2024
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