Individual
MR. MARK GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
339 NACOOCHEE DR, RABUN GAP, GA 30568-2200
(706) 746-7725
Mailing address
19 COWEETA TER, OTTO, NC 28763-8141
(828) 371-1010
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002250
GA
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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