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Individual

CANDACE K GREENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1000 JOHNSON FERRY ROAD, KAISER PERMANENTE HOSPITAL SERVICES, ATLANTA, GA 30342
(404) 225-0215
Mailing address
3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305
(404) 364-7000

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D19017
GA

Other

Enumeration date
01/08/2007
Last updated
07/08/2007
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