Individual
DR. BRENT GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
230 RIVERSTONE PKWY STE B, CANTON, GA 30114-6414
(770) 720-0099
Mailing address
230 RIVERSTONE PKWY STE B, CANTON, GA 30114-6414
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR010699
GA
Other
Enumeration date
05/04/2022
Last updated
05/04/2022
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