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1780093435
MARICA GREEN
GEORGETOWN, SC
NPI
1780093435
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 18865)
Enumeration Date
2014-08-07
Last Update Date
2014-08-07
Business Address
-- MARICA GREEN FNP
57 JESSAMINE AVE
GEORGETOWN, SC 29440-5837
Phone number: 843-546-8686
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Mailing Address
-- MARICA GREEN FNP
1176 LANTANA CIR
GEORGETOWN, SC 29440-7608
Phone number: 843-545-5464
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