TAMMY GREEN

LOCUST GROVE, GA
NPI1609234129
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: GA  RN199156)
Additional Taxonomies363LP0200X Nurse Practitioner, Pediatrics
(Licence: GA  RN199156)
Enumeration Date2016-01-29
Last Update Date2016-02-03
Business Address
-- TAMMY GREEN CPNP
5040 BILL GARDNER PKWY SUITE 100
LOCUST GROVE, GA 30248-3757
Phone number: 678-583-5437
Mailing Address
-- TAMMY GREEN CPNP
1002 SUMMERLAKE WAY
MCDONOUGH, GA 30253-7424
Phone number: 404-669-7949