Individual
MS. AMANDA J. GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2540 WINDY HILL RD SE, MARIETTA, GA 30067-8605
(770) 644-1570
(770) 644-1576
Mailing address
2594 WILDFLOWER LN, SNELLVILLE, GA 30039-4085
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN198522
GA
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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