KESHA GREEN LLC

HIRAM, GA
NPI1568734556
Entity TypeOrganization
Authorized ContactKESHA PANIKA GREEN
Owner/Clinician
706-332-0526
Organization Subpart ?No
Primary Taxonomy251S00000X 
Enumeration Date2012-02-06
Last Update Date2012-02-06
Business Address
KESHA GREEN LLC
122 GREYSTONE CIR
HIRAM, GA 30141-3141
Phone number: 706-332-0526
Mailing Address
KESHA GREEN LLC
122 GREYSTONE CIR
HIRAM, GA 30141-3141
Phone number: