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1750311221
BRYAN S GREEN
ATHENS, GA
NPI
1750311221
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 4808)
Enumeration Date
2006-07-03
Last Update Date
2024-03-11
Business Address
Mr. BRYAN S GREEN PA-C
1765 OLD WEST BROAD ST
ATHENS, GA 30606-2853
Phone number: 706-549-1663
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Mailing Address
Mr. BRYAN S GREEN PA-C
1765 OLD WEST BROAD ST BLDG 2-200
ATHENS, GA 30606-2887
Phone number: 706-549-1663
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