Individual
BLAIR GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.T.
Contact information
Practice address
3300 NORTHEAST EXPY NE, BUILDING 8, SUITE C, ATLANTA, GA 30341-3932
(770) 500-3848
Mailing address
5538 TRACE VIEWS DR, NORCROSS, GA 30071-1436
(770) 500-3848
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT006847
GA
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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