Greene-Harris, Sandea Anessa

Greene-Harris, Sandea Anessa is an individual health care provider with primary practice located at 203 Medical Blvd , Stockbridge GA 30281-7218. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as her primary health care specialty. Greene-Harris, Sandea Anessa can be contacted via phone (678) 289-7710.

Contact Information

Primary practice address
203 Medical Blvd Stockbridge GA 30281-7218
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 53450 Georgia

Profile Details

NPI number 1295784429
LBN Legal business name Greene-Harris, Sandea Anessa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2006
Last updated Nov 11th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295784429 NPPES
Georgia MEDICAID 297119976C
Georgia MEDICAID 297119976A

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