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Bobbie Green
NPI 1033562046 · on the registry since 2016
Practice
- Address
- 2400 Parkland Dr Ne Unit 321
Atlanta, GA 30324 - Phone
- (678) 515-3974
- Organisation at this address
- Driven Visions Enterprises
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 376K00000X
376K00000X
- Also registered as
- 163W00000X
163WH0200X
164W00000X
2355S0801X
372600000X
374U00000X
376G00000X
376J00000X - Licence states on file
- GA, NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-07-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia