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Jamon Laquentin Green
Student in an Organized Health Care Education/Training Program in Stockbridge, Georgia
NPI 1053025791

Jamon Laquentin Green is a Student in an Organized Health Care Education/Training Program based in Stockbridge, GA. Jamon Laquentin Green practices in Stockbridge, GA. The NPI Number for Jamon Laquentin Green is 1053025791 and holds a License No. (Georgia).

The current practice location address for Jamon Laquentin Green is 240 Corporate Center Dr Ste B, Stockbridge, GA and can be reached out via phone at 770-728-3990 and via fax at 470-481-6998.

Location: 240 Corporate Center Dr Ste B, Stockbridge, GA, 30281-7214
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053025791
Provider Name
Jamon Laquentin Green
Credential
Provider Entity Type
Individual
Gender
Male
Address
240 Corporate Center Dr Ste B, Stockbridge, GA, 30281-7214
Phone Number
770-728-3990
Fax Number
470-481-6998
Provider Enumeration Date
01/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
240 Corporate Center Dr Ste B
City
Stockbridge
State
Georgia
Zip
30281-7214
Phone Number
770-728-3990
Fax Number
470-481-6998
person
Provider Business Mailing Address Details
Address
240 Corporate Center Dr Ste B
City
Stockbridge
State
Georgia
Zip
30281-7214
Phone Number
770-728-3990
Fax Number
470-481-6998
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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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