Individual
MRS. ALISHA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
255 W 5TH ST SW STE 300, ROME, GA 30165-2817
(706) 509-6840
Mailing address
420 E 2ND AVE STE 103, ROME, GA 30161-3210
(706) 509-3000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
175761-NP
GA
Other
Enumeration date
01/28/2014
Last updated
05/12/2021
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