Green, Courtney Lee

Green, Courtney Lee is an individual health care provider with primary practice located at 541 441 Historic Hwy N , Demorest GA 30535-4528. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Green, Courtney Lee can be contacted via phone (770) 219-8720.

Contact Information

Primary practice address
541 441 Historic Hwy N Demorest GA 30535-4528
Phone: (770) 219-8720
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN257515 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN257515 Georgia

Profile Details

NPI number 1801454749
LBN Legal business name Green, Courtney Lee
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2019
Last updated Jul 24th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801454749 NPPES
Georgia MEDICAID 003122026D

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