La'doria Richelle Green

NPI #1104199652 in Fairburn, Georgia

Provider Information

NPI Number: 1104199652
Entity Type: Individual
Name: La'doria Richelle Green
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Enumeration Date: Feb 14, 2012
Last Updated: Feb 14, 2012

Practice Location

Address: 7902 CEDAR TURN
City: Fairburn
State: Georgia
ZIP Code: 30213-7929
Phone: (770) 629-5247

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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