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Individual

DR. JOHN GREEN III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O

Contact information

Practice address
6333 HIGHWAY 49, SUITE 7 ACHIEVE MEDICAL WEIGHT LOSS, HATTIESBURG, MS 39401-3132
(601) 255-5326
Mailing address
4925 GUILFORD FOREST DR SW, ATLANTA, GA 30331-9005
(404) 691-6149

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
056998
GA
207Q00000X
Family Medicine Physician
OS008848L
PA
207QA0505X
Adult Medicine Physician
Primary
21492
MS

Other

Enumeration date
06/06/2006
Last updated
06/17/2011
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