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Individual

MR. HARBERT NOEL GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
270 TRELAWNEY DR, COVINGTON, GA 30016-6819
(770) 655-8360
Mailing address
270 TRELAWNEY DR, COVINGTON, GA 30016-6819
(770) 655-8360

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN226286
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
RN226285
GA
01
RN226286
NURSING CARE
GA
Enumeration date
12/04/2012
Last updated
12/04/2012
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