MS. Catherine Larsen Green, PA

NPI #1285123919 in Canton, Georgia

Provider Information

NPI Number: 1285123919
Entity Type: Individual
Name: MS. Catherine Larsen Green, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: May 8, 2018
Last Updated: Jul 17, 2023

Practice Location

Address: 227 RIVERSTONE DR STE D
City: Canton
State: Georgia
ZIP Code: 30114-5256
Phone: (770) 720-7733

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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