Individual
MELISSA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 DILWORTH ST, SAINT MARYS, GA 31558-8695
(912) 882-8515
(912) 882-2072
Mailing address
905 DILWORTH ST, SAINT MARYS, GA 31558-8695
(912) 882-8515
(912) 882-2072
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN166415
GA
Other
Enumeration date
11/18/2009
Last updated
11/18/2009
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