Individual
DARIUS GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3721 NEW MACLAND RD STE 530, POWDER SPRINGS, GA 30127-2089
(470) 632-1009
Mailing address
125 SUNSET LOOP, CEDARTOWN, GA 30125-8417
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
08/31/2021
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