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Individual

VERA GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.D., L.D.

Contact information

Practice address
2320 N EIFFEL CT, DECATUR, GA 30032-5633
(770) 674-4863
Mailing address
2320 N EIFFEL CT, DECATUR, GA 30032-5633

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD000374
GA

Other

Enumeration date
12/30/2010
Last updated
12/30/2010
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