Individual
GINA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
850 ROCK SHOALS CT, COLLEGE PARK, GA 30349-7332
(404) 994-7727
Mailing address
850 ROCK SHOALS CT, COLLEGE PARK, GA 30349-7332
(404) 994-7727
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT009291
GA
Other
Enumeration date
08/05/2016
Last updated
08/08/2016
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