Green, Victoria Carriesa

Green, Victoria Carriesa is an sole proprietor health care provider with primary practice located at 1501 Milstead Rd Ne Ste 110 , Conyers GA 30012-3849. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Green, Victoria Carriesa can be contacted via phone (770) 496-9430.

Contact Information

Primary practice address
1501 Milstead Rd Ne Ste 110 Conyers GA 30012-3849
Fax: (404) 891-4947
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X RN207510 Georgia

Profile Details

NPI number 1982106373
LBN Legal business name Green, Victoria Carriesa
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2018
Last updated Jan 24th, 2024 - about 2 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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