Greene, Deidre J
Greene, Deidre J is an individual health care provider with primary practice located at 760 Kennesaw Ave Nw , Marietta GA 30060-6909. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Greene, Deidre J can be contacted via phone (770) 427-0183.Contact Information
Primary practice address
760 Kennesaw Ave Nw
Marietta GA 30060-6909
Phone: (770) 427-0183
Fax: (770) 427-0788
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 038002 | Georgia |
Profile Details
| NPI number | 1386634434 |
|---|---|
| LBN Legal business name | Greene, Deidre J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 28th, 2005 |
| Last updated | Dec 8th, 2011 - about 15 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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