SHANNON GREENE

MACON, GA
NPI1760027882
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: GA  LPN085959)
Enumeration Date2019-11-13
Last Update Date2019-11-13
Business Address
SHANNON GREENE
6132 HAWKINSVILLE RD
MACON, GA 31216-5848
Phone number: 478-788-0066
Mailing Address
SHANNON GREENE
6132 HAWKINSVILLE RD
MACON, GA 31216-5848
Phone number: 478-788-0066
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