Individual
MISS VICTORIA CARRIESA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1501 MILSTEAD RD NE STE 110, CONYERS, GA 30012-3849
(770) 496-9430
(404) 891-4947
Mailing address
1835 SAVOY DR STE 203, ATLANTA, GA 30341-1073
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN207510
GA
Other
Enumeration date
03/01/2018
Last updated
08/14/2024
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