MARK GREEN

RABUN GAP, GA
NPI1902342165
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA  AT002250)
Enumeration Date2017-01-12
Last Update Date2017-01-12
Business Address
Mr. MARK GREEN LAT, ATC
339 NACOOCHEE DR
RABUN GAP, GA 30568-2200
Phone number: 706-746-7725
Mailing Address
Mr. MARK GREEN LAT, ATC
19 COWEETA TER
OTTO, NC 28763-8141
Phone number: 828-371-1010