Individual
PATRICK GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 W PEACHTREE ST NW STE 4-672, ATLANTA, GA 30308-3536
(866) 860-1127
Mailing address
5725 MELANIE TRL, COLLEGE PARK, GA 30349-2803
(866) 860-1127
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
824147584
GA
Other
Enumeration date
01/25/2018
Last updated
01/25/2018
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