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1477578797
TASHA LAVETTE GREEN
STOCKBRIDGE, GA
NPI
1477578797
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: GA 052108)
Enumeration Date
2006-07-13
Last Update Date
2017-03-22
Business Address
-- TASHA LAVETTE GREEN M.D.
125 EAGLES WALK SUITE 150
STOCKBRIDGE, GA 30281-7208
Phone number: 678-477-9230
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Mailing Address
-- TASHA LAVETTE GREEN M.D.
4228 ABRAM DR
CONLEY, GA 30288-1739
Phone number:
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