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Individual

MRS. DEBRA DENISE GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
633 TUSCALOOSA AVE SW, BIRMINGHAM, AL 35211-1637
(205) 235-4003
(205) 941-8071
Mailing address
PO BOX 746063, ATLANTA, GA 30374-6063
(312) 733-9730

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-171199
AL

Other

Enumeration date
07/22/2024
Last updated
08/22/2024
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