Greene, Jesse Nathan

Greene, Jesse Nathan is an individual health care provider with primary practice located at 1 Magnolia Ct , Moultrie GA 31768-6764. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Greene, Jesse Nathan can be contacted via phone (229) 502-9753.

Contact Information

Primary practice address
1 Magnolia Ct Moultrie GA 31768-6764
Phone: (229) 502-9753
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1477130615
LBN Legal business name Greene, Jesse Nathan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2021
Last updated Mar 25th, 2021 - about 4 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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