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Brody Green, LPTA

NPI 1154889129 · on the registry since 2019

Practice

Address
4580 Towne Lake Pkwy
Woodstock, GA 30189
Phone
(678) 771-6459
Clinicians at this address
5

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-03-07

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