Courtney Green

NPI #1457993222 in Odenton, Maryland

Provider Information

NPI Number
1457993222
Entity Type
Individual
Name
Courtney Green
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Enumeration Date
Oct 14, 2019
Last Updated
Sep 22, 2020

Practice Location

Address
1130 ANNAPOLIS RD STE 100
ZIP Code
21113-1622
Phone
(757) 969-7591

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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