Individual
SONYA BRITTING GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2701 N DECATUR RD, DECATUR, GA 30033-5918
(404) 501-1000
Mailing address
2701 N DECATUR RD, DECATUR, GA 30033-5918
(404) 501-1000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
004259
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274037299A
—
GA
05
—
274037299B
—
GA
Enumeration date
06/16/2005
Last updated
12/12/2011
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