Green, Jeanne

Green, Jeanne is an individual health care provider with primary practice located at 2465 Canopy Gln , Marietta GA 30066-1541. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Green, Jeanne can be contacted via phone (770) 517-2480.

Contact Information

Primary practice address
2465 Canopy Gln Marietta GA 30066-1541
Phone: (770) 517-2480
Fax: (770) 592-9431
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 3516 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 3516 Georgia

Profile Details

NPI number 1922168707
LBN Legal business name Green, Jeanne
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922168707 NPPES
Georgia Other 3516 GEORGIA PT LICENSE
Georgia Other 10040357 GEORGIA PT LICENSE
Georgia Other 321854 GEORGIA PT LICENSE

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