RAYMOND B GREEN

CONYERS, GA
NPI1316416860
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy246RP1900X Technician, Pathology, Phlebotomy
(Licence: GA  12946819)
Enumeration Date2018-11-14
Last Update Date2021-11-16
Business Address
Mr. RAYMOND B GREEN RPT
1575 ELM ST NE
CONYERS, GA 30012-3715
Phone number: 770-864-8806
Mailing Address
Mr. RAYMOND B GREEN RPT
1575 ELM ST NE
CONYERS, GA 30012-3715
Phone number: 770-864-8806