JUSTUS ISHMAEL GREEN

CHATTANOOGA, TN
NPI1194208843
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: TN  212712)
Enumeration Date2018-09-10
Last Update Date2018-09-10
Business Address
Mr. JUSTUS ISHMAEL GREEN CRNA
975 E 3RD ST
CHATTANOOGA, TN 37403-2147
Phone number: 423-602-8400
Mailing Address
Mr. JUSTUS ISHMAEL GREEN CRNA
PO BOX 2930
INDIANAPOLIS, IN 46206-2930
Phone number: 844-468-9496
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