Individual
DEE A GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, MN
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30045-8444
(770) 339-5075
(770) 822-1698
Mailing address
5609 PENNYBROOK CT, STONE MOUNTAIN, GA 30087-5746
(770) 339-5075
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN083078
GA
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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