Individual
LEONARD GERALD GREENE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3825 FAIRINGTON DR, HEPHZIBAH, GA 30815-6100
(706) 284-9354
Mailing address
3825 FAIRINGTON DR, HEPHZIBAH, GA 30815-6100
(706) 284-9354
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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