Heidi Green, DC

NPI #1235220633 in Dacula, Georgia

Provider Information

NPI Number: 1235220633
Entity Type: Individual
Name: Heidi Green, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Sep 28, 2006
Last Updated: Jul 28, 2008

Practice Location

Address: 3509 BRASELTON HWY BLDG F
City: Dacula
State: Georgia
ZIP Code: 30019-1027
Phone: (770) 614-6630

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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