Individual
MRS. TASHA THERESA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5780 PEACHTREE DUNWOODY RD STE 235, ATLANTA, GA 30342-1513
(404) 981-7373
Mailing address
5780 PEACHTREE DUNWOODY ROAD NE, STE 235, ATLANTA, GA 30342
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN236234
GA
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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