Green, Raymond B

Green, Raymond B is an sole proprietor health care provider with primary practice located at 1575 Elm St Ne , Conyers GA 30012-3715. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Phlebotomy, which is considered as his primary health care specialty. Green, Raymond B can be contacted via phone (770) 864-8806.

Contact Information

Primary practice address
1575 Elm St Ne Conyers GA 30012-3715
Phone: (770) 864-8806
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Phlebotomy 246RP1900X 12946819 Georgia

Profile Details

NPI number 1316416860
LBN Legal business name Green, Raymond B
Credentials Registered Physical Therapist (RPT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2018
Last updated Nov 16th, 2021 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1316416860 NPPES
Georgia MEDICAID 1316416860

Popular Providers