Individual
DR. TRACEY GREENE-JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
327 S 9TH ST, GRIFFIN, GA 30224-4111
(770) 229-1117
(770) 229-5280
Mailing address
327 S 9TH ST, GRIFFIN, GA 30224-4111
(770) 229-1117
(770) 229-5280
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
038785
GA
207V00000X
Obstetrics & Gynecology Physician
Primary
038785
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000629252E
—
GA
Enumeration date
07/18/2006
Last updated
01/27/2021
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