Individual
SARAH GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6335 HOSPITAL PKWY STE 304, JOHNS CREEK, GA 30097-5712
(404) 778-8323
Mailing address
23 OLD IVY SQ NE, ATLANTA, GA 30342-4237
(678) 642-4200
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN230609
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/09/2020
Last updated
09/03/2020
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