Individual
MAUREEN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5398 THOMASTON RD, MACON, GA 31220-8110
(770) 442-1911
(770) 442-0306
Mailing address
6435 ZEBULON RD APT 828, MACON, GA 31220-7602
(478) 957-7101
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN243097
GA
Other
Enumeration date
11/24/2020
Last updated
05/09/2024
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