Individual
DR. STEPHEN KELLY GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4200 WADE GREEN RD NW, SUITE 27, KENNESAW, GA 30144-1237
(770) 427-2799
(770) 427-2243
Mailing address
4200 WADE GREEN RD NW, SUITE 27, KENNESAW, GA 30144-1237
(770) 427-2799
(770) 427-2243
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIRO02560
GA
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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