Individual provider · Type 1 NPI

Jamon Laquentin Green

Student in an Organized Health Care Education/Training Program · Stockbridge, GA

NPI number 1053025791 Active

Practice location

240 Corporate Center Dr Ste B
Stockbridge, GA 30281-7214

Call (770) 728-3990 Map

Fax (470) 481-6998

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1053025791

Jamon Laquentin Green's National Provider Identifier is 1053025791, issued on Jan 9, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stockbridge, GA. The record was last updated on Jan 9, 2023.