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1992283097
AVA DAWN GREENE
MOULTRIE, GA
NPI
1992283097
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN118430)
Enumeration Date
2018-07-31
Last Update Date
2018-07-31
Business Address
AVA DAWN GREENE FNP-C
3003 VETERANS PKWY S
MOULTRIE, GA 31788-6705
Phone number: 229-985-3422
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Mailing Address
AVA DAWN GREENE FNP-C
4705 TWO KNOTCH CIR
LAKE PARK, GA 31636-4981
Phone number: 229-834-6453
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