Tammy Green, CPNP
NPI #1609234129 in Locust Grove, Georgia
Provider Information
- NPI Number
- 1609234129
- Entity Type
- Individual
- Name
- Tammy Green, CPNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- CPNP
- Enumeration Date
- Jan 29, 2016
- Last Updated
- Feb 3, 2016
Practice Location
- Address
- 5040 BILL GARDNER PKWY
- Address 2
- SUITE 100
- City
- Locust Grove
- State
- Georgia
- ZIP Code
- 30248-3757
- Phone
- (678) 583-5437
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Nurse Practitioner - Pediatrics — Pediatrics |
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