Individual
RICHARD ALLEN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
BLDG 4200 WILSON HALL, FORT BENNING, GA 31905
(706) 626-5904
Mailing address
7487 OBRIEN LOOP, FORT BENNING, GA 31905-2761
(229) 942-9870
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN246976
GA
Other
Enumeration date
07/14/2016
Last updated
12/11/2025
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