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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ALICIA ANTOINETTE GREENE

Active Sole Proprietor

ALICIA ANTOINETTE GREENE is a Community/Behavioral Health healthcare provider located in STATHAM, Georgia. NPI 1447939111 is currently active in the NPPES registry. Verify at CMS.

Community/Behavioral Health · STATHAM, GA

Registration Details

NPI Number
1447939111
Provider Type
Individual
Gender
Female
NPI Issued
Jul 11, 2023 (2.9129601646551 yrs)
Last Updated
Jul 11, 2023
Sole Proprietor
Yes

Practice Information

Address
956 GRAHAM CAMPBELL LN
STATHAM, GA, 306661896
Browse GA providers · Browse ZIP 30666
Phone
4047230715
Primary Specialty
Community/Behavioral Health
251S00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.