WILLIAM GREEN

CARROLLTON, GA
NPI1669892485
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA  AT001238)
Enumeration Date2014-04-19
Last Update Date2014-04-19
Business Address
-- WILLIAM GREEN
641 N CLIFF ST
CARROLLTON, GA 30117-2207
Phone number: 678-634-4776
Mailing Address
-- WILLIAM GREEN
641 N CLIFF ST
CARROLLTON, GA 30117-2207
Phone number: 678-634-4776
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