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1073941415
MARY FISHER GREEN
AUGUSTA, GA
NPI
1073941415
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 006983)
Enumeration Date
2013-10-22
Last Update Date
2013-10-22
Business Address
MRS. MARY FISHER GREEN PA-C
1120 15TH ST # AF-2044
AUGUSTA, GA 30912-3040
Phone number: 706-721-3548
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Mailing Address
MRS. MARY FISHER GREEN PA-C
3030 CARDINAL DR
AUGUSTA, GA 30909-3040
Phone number:
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