Individual
SAMANTHA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1625 TUNNEL HILL VARNELL RD NW, DALTON, GA 30720-6301
(706) 581-2315
Mailing address
1625 TUNNEL HILL VARNELL RD NW, DALTON, GA 30720-6301
(706) 581-2315
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN094650
GA
Other
Enumeration date
02/04/2021
Last updated
02/04/2021
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