Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. KIMBERLY DAINELLE GREEN
Active Sole ProprietorContractor · MACON, GA
Registration Details
- NPI Number
- 1891083887
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 12, 2011 (14.778650592276 yrs)
- Last Updated
- Jul 12, 2011
- License
-
011-R-0210 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
761 POPLAR STSUITE # 2 IMACON, GA, 312012082Browse GA providers · Browse ZIP 31201
- Phone
- 4784611955
- Fax
- 4787452054
- Primary Specialty
-
Contractor
171W00000X
Other Contractor Providers in MACON, GA
| Name | Credential | NPI |
|---|---|---|
| BRANDYN ANN PYE | BS | 1265777916 |
| TAMEKA HARRIS | — | 1518202126 |
| BRITTANY MUIR | BS | 1275878886 |
| BRENDA HARRIS GOOLSBY | MS, MFT | 1750626248 |
| DEUNDRAY BENTLEY | BS | 1104262989 |
| KWEZETA JOHNSON | — | 1194425272 |
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.