Individual
MS. SHILLIANE M GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
935 S GROVE BLVD APT 6, KINGSLAND, GA 31548-5257
(912) 674-5069
Mailing address
935 S GROVE BLVD APT 6, KINGSLAND, GA 31548-5257
(912) 674-5069
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0014188451
GA
Other
Enumeration date
08/25/2020
Last updated
08/25/2020
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