Individual
JALEEL GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5246 BRITTANY DR, BATON ROUGE, LA 70808-9136
(225) 757-4212
Mailing address
200 CRESCENT CENTER PKWY, TUCKER, GA 30084-7047
(404) 365-0966
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
111610
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2022
Last updated
06/16/2026
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