Individual
DR. KIMBERLY J GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
1090 CAMBRIDGE SQ, SUITE A, ALPHARETTA, GA 30009-1875
(770) 754-9880
(770) 754-9881
Mailing address
1090 CAMBRIDGE SQ, SUITE A, ALPHARETTA, GA 30009-1875
(770) 754-9880
(770) 754-9881
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
2002456A
IN
208D00000X
General Practice Physician
Primary
58478
GA
Other
Enumeration date
10/05/2006
Last updated
07/26/2013
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