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
Phone: (678) 289-7710
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1295784429 | NPPES |
Georgia | MEDICAID | 297119976C | |
Georgia | MEDICAID | 297119976A |
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