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Chanel Green
NPI 1922776087 · on the registry since 2021 · sole proprietor
Practice
- Address
- 3117 Benninger Trce Sw
Atlanta, GA 30331 - Phone
- (678) 938-7590
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-02-01
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