Individual
MARICA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
57 JESSAMINE AVE, GEORGETOWN, SC 29440-5837
(843) 546-8686
(843) 546-1353
Mailing address
1176 LANTANA CIR, GEORGETOWN, SC 29440-7608
(843) 545-5464
(843) 545-1353
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18865
SC
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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