Green, Ladaesha

Green, Ladaesha is an individual health care provider with primary practice located at 1332 Southern Dr , Statesboro GA 30460-1360. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Medical Technologist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Green, Ladaesha can be contacted via phone (843) 697-8366.

Contact Information

Primary practice address
1332 Southern Dr Statesboro GA 30460-1360
Phone: (843) 697-8366
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Medical Technologist 246QM0706X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1295444644
LBN Legal business name Green, Ladaesha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2022
Last updated Nov 15th, 2022 - about 4 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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