MRS. Mary Fisher Green, PA-C

NPI #1073941415 in Augusta, Georgia

Provider Information

NPI Number
1073941415
Entity Type
Individual
Name
MRS. Mary Fisher Green, PA-C
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Oct 22, 2013
Last Updated
Oct 22, 2013

Practice Location

Address
1120 15TH ST # AF-2044
State
Georgia
ZIP Code
30912-3040
Phone
(706) 721-3548

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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