Individual
JENNIFER RUTH GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1198 ARBORVISTA DR NE, ATLANTA, GA 30329-3841
(404) 641-9587
(404) 800-6329
Mailing address
1198 ARBORVISTA DR NE, ATLANTA, GA 30329-3841
(404) 641-9587
(404) 800-6329
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/28/2007
Last updated
07/18/2024
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