Individual
JULIA LATOYA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 WHITCHER ST NE STE 160, MARIETTA, GA 30060-1160
(404) 989-9473
Mailing address
5665 ASHFORD DUNWOODY RD, SUITE 150, ATLANTA, GA 30342
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN194654
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000
0000000
—
Enumeration date
06/11/2012
Last updated
10/29/2018
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