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Individual

SHAWN GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ACNS-BC, PMHNP-BC

Contact information

Practice address
1314 CONCORD RD SE, SMYRNA, GA 30080-4361
(770) 438-1799
(770) 825-9046
Mailing address
2316 ECHELON LN, SMYRNA, GA 30080-2126
(404) 435-9441

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
16635
TN
364SA2200X
Adult Health Clinical Nurse Specialist
16635
TN

Other

Enumeration date
08/19/2016
Last updated
06/26/2024
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