Individual
JAMIE DENISE WOODS GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1277 WELLBROOK CIR NE STE B, CONYERS, GA 30012-3973
(770) 922-5745
(678) 750-1406
Mailing address
1277 WELLBROOK CIR NE STE B, CONYERS, GA 30012-3973
(770) 922-5745
(678) 750-1406
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
083197
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003180139B
—
GA
Enumeration date
03/28/2016
Last updated
02/03/2020
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