Individual
NATHANIEL GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3443 DICKERSON PIKE STE 190, NASHVILLE, TN 37207-2533
(615) 301-8269
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
(706) 494-3171
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5945
TN
363AS0400X
Surgical Physician Assistant
Primary
5945
TN
Other
Enumeration date
02/19/2024
Last updated
04/02/2025
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