Most Relevant Information
Provider Data
| NPI Number: | 1003424151 |
| Provider Name: | MEAGAN GREEN PNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0200X |
| Specialty: | Nurse Practitioner |
| License Number: | RN247066 |
Most Important Dates
| Enumeration Date: | 07/15/2020 |
| Last Updated: | 07/15/2020 |
Provider Practice Location
1405 CLIFTON RD NE
ATLANTA
GA
303221060
Practice Location Phone/Fax
| Phone: | 4047856330 |
| Fax: |
Provider Mailing Location
1405 CLIFTON RD NE
ATLANTA
GA
303221060
Provider Mailing Phone/Fax
| Phone: | 4047856330 |
| Fax: |