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Jennifer S Green, PA-C
Medical Physician Assistant in Savannah, Georgia
NPI 1588658363

Jennifer S Green is a Medical Physician Assistant based in Savannah, GA and is specialized in Medical. Jennifer S Green practices in Savannah, GA and has the professional credentials of PA-C. The NPI Number for Jennifer S Green is 1588658363 and holds a License No. 4605 (Georgia).

The current practice location address for Jennifer S Green is 4425 Paulsen St, Savannah, GA and can be reached out via phone at 912-355-6615 and via fax at 912-354-5970.

Location: 4425 Paulsen St, Savannah, GA, 31405-3637
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588658363
Provider Name
Jennifer S Green
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
4425 Paulsen St, Savannah, GA, 31405-3637
Phone Number
912-355-6615
Fax Number
912-354-5970
Provider Enumeration Date
09/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
467115303A 05 GA
institution
Provider Business Practice Location Address Details
Address
4425 Paulsen St
City
Savannah
State
Georgia
Zip
31405-3637
Phone Number
912-355-6615
Fax Number
912-354-5970
person
Provider Business Mailing Address Details
Address
4425 Paulsen St
City
Savannah
State
Georgia
Zip
31405-3637
Phone Number
912-355-6615
Fax Number
912-354-5970
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
4605 (Georgia)
Definition
Definition to come...
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