Individual
KIM MCPHERSON GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, ED.D..
Contact information
Practice address
1254 CONCORD RD SE, SUITE 204, SMYRNA, GA 30080-4371
(678) 842-0604
(186) 628-1862
Mailing address
1254 CONCORD RD SE, SUITE 204, SMYRNA, GA 30080-4371
(678) 842-0604
(186) 628-1862
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN060677
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000844742A
—
GA
05
—
000844742B
—
GA
Enumeration date
05/15/2008
Last updated
05/15/2008
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