Individual
SHERRI LUCKY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
137 COLLEGIATE WAY-FSU/TSHC, TALLAHASSEE, FL 32306-2140
(850) 644-5838
(850) 644-0355
Mailing address
5885 CYPRESS CIR, TALLAHASSEE, FL 32303-6708
(850) 459-2454
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9102290
FL
Other
Enumeration date
09/05/2006
Last updated
07/08/2007
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