Individual
CHRISTOPHER GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
417 YACHT CLUB LN, ST SIMONS ISLAND, GA 31522-2312
(630) 854-4724
Mailing address
417 YACHT CLUB LN, ST SIMONS ISLAND, GA 31522-2312
(630) 854-4724
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN272723
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN272723
GA
Other
Enumeration date
02/20/2023
Last updated
12/13/2023
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