Tasha Lavette Green, M.D.

NPI #1477578797 in Stockbridge, Georgia

Provider Information

NPI Number: 1477578797
Entity Type: Individual
Name: Tasha Lavette Green, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Jul 13, 2006
Last Updated: Mar 22, 2017

Practice Location

Address: 125 EAGLES WALK
Address 2: SUITE 150
City: Stockbridge
State: Georgia
ZIP Code: 30281-7208
Phone: (678) 477-9230

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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