Individual
NATASHA QUINTA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4068 EMERALD LAKE DR, DECATUR, GA 30035-2735
(318) 518-1686
Mailing address
4068 EMERALD LAKE DR, DECATUR, GA 30035-2735
(318) 518-1686
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
005083
GA
Other
Enumeration date
06/19/2007
Last updated
02/04/2026
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