Individual
MRS. STEPHANIE NOLAN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
35 JESSE HILL JR DR SE, ATLANTA, GA 30303-3032
(404) 791-2008
Mailing address
174 CHESTER AVE SE UNIT 57, ATLANTA, GA 30316-1294
(404) 791-2008
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005029
GA
Other
Enumeration date
04/26/2007
Last updated
09/01/2015
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