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Mr. Raymond B Green, RPT
Phlebotomy Technician in Conyers, Georgia
NPI 1316416860

Raymond B Green is a Phlebotomy Technician based in Conyers, GA and is specialized in Phlebotomy. Raymond B Green practices in Conyers, GA and has the professional credentials of RPT. The NPI Number for Raymond B Green is 1316416860 and holds a License No. 12946819 (Georgia).

The current practice location address for Raymond B Green is 1575 Elm St Ne, Conyers, GA and can be reached out via phone at 770-864-8806.

Location: 1575 Elm St Ne, Conyers, GA, 30012-3715
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316416860
Provider Name
Raymond B Green
Credential
RPT
Provider Entity Type
Individual
Gender
Male
Address
1575 Elm St Ne, Conyers, GA, 30012-3715
Phone Number
770-864-8806
Fax Number
Provider Enumeration Date
11/14/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1316416860 05 GA
institution
Provider Business Practice Location Address Details
Address
1575 Elm St Ne
City
Conyers
State
Georgia
Zip
30012-3715
Phone Number
770-864-8806
Fax Number
person
Provider Business Mailing Address Details
Address
1575 Elm St Ne
City
Conyers
State
Georgia
Zip
30012-3715
Phone Number
770-864-8806
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Phlebotomy
Taxonomy
246RP1900X
License No.
12946819 (Georgia)
Definition
Definition to come...
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