Individual
DR. JACQUELINE W GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6135 BARFIELD RD STE 200, ATLANTA, GA 30328
(404) 256-8500
Mailing address
6600 PEACHTREE DUNWOODY RD STE 325, ATLANTA, GA 30328-6773
(404) 876-1906
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
68418
GA
Other
Enumeration date
06/20/2008
Last updated
11/23/2020
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