Individual
WILLIAM GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
641 N CLIFF ST, CARROLLTON, GA 30117-2207
(678) 634-4776
(678) 839-6546
Mailing address
641 N CLIFF ST, CARROLLTON, GA 30117-2207
(678) 634-4776
(678) 839-6546
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001238
GA
Other
Enumeration date
04/19/2014
Last updated
04/19/2014
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