Individual
ANTONIO GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 N ZACK HINTON PKWY, MCDONOUGH, GA 30253-2317
(770) 957-2984
Mailing address
2 N ZACK HINTON PKWY, MCDONOUGH, GA 30253-2317
(770) 957-2984
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH032817
GA
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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