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Contact Information

JEAN GREEN
232 CREPE MYRTLE CIR
OCILLA, GA31774-3348
 Phone: 229-325-6068
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical-Surgical

163WM0705X
Indicates primary specialty

NPI Profile & details for JEAN GREEN · (Female)

NPI Number 1114337359
Status Active
Credentials
Entity Individual
Enumeration date 04/28/2014
Last updated 04/28/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # RN174038
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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