person
Justin Jermaine Green, HAIRLOSSSPECIALIST
Prosthetics Case Management in Memphis, Tennessee
NPI 1770069684

Justin Jermaine Green is a Prosthetics Case Management based in Memphis, TN and is specialized in Prosthetics Case Management. Justin Jermaine Green practices in Memphis, TN and has the professional credentials of HAIRLOSSSPECIALIST. The NPI Number for Justin Jermaine Green is 1770069684 and holds a License No. 126818 (Tennessee).

The current practice location address for Justin Jermaine Green is 4412 Elvis Presley Blvd, Memphis, TN and can be reached out via phone at 901-830-9256. You can also correspond with Justin Jermaine Green through the mailing address at 436 CLARICE DR, MEMPHIS, TN - 38109-4626 (mailing address contact number: 901-830-9256).

Location: 4412 Elvis Presley Blvd, Memphis, TN, 38109-4626
person
Provider Profile Details
NPI Number
1770069684
Provider Name
Justin Jermaine Green
Credential
HAIRLOSSSPECIALIST
Provider Entity Type
Individual
Gender
Male
Address
4412 Elvis Presley Blvd, Memphis, TN, 38109-4626
Phone Number
901-830-9256
Fax Number
Provider Enumeration Date
07/13/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4412 Elvis Presley Blvd
City
State
Zip
38116-6408
Phone Number
901-830-9256
Fax Number
person
Provider Business Mailing Address Details
Address
4412 Elvis Presley Blvd
City
State
Zip
38116-6408
Phone Number
901-830-9256
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
License No.
126818 (Tennessee)
Definition
Definition to come...
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