Individual
DR. BARRY STEVEN GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CHIROPRACTOR
Contact information
Practice address
2840 MAIN ST W, SNELLVILLE, GA 30078-3156
(770) 985-9021
Mailing address
2840 MAIN ST W, SNELLVILLE, GA 30078-3156
(770) 985-9021
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIROO2645
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CHIROO2645
LICENSE NO.
GA
Enumeration date
05/16/2006
Last updated
10/17/2016
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