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NPI Code Detail

MEDICARE: SONYA BRITTING GREEN PA-C

MEDICARE: SONYA BRITTING GREEN PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant004259GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861497786
Entity Type Code : Individual
Provider Name (Legal Business Name) : SONYA BRITTING GREEN PA-C
Provider Business Mailing Address
First Line : 2701 N DECATUR RD
Second Line :
City : DECATUR
State : GA
Zip : 30033-5918
Country : US
Telephone Number : 404-501-1000
Fax Number :
Provider Business Practice Location Address
First Line : 2701 N DECATUR RD
Second Line :
City : DECATUR
State : GA
Zip : 30033-5918
Country : US
Telephone Number : 404-501-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 12/12/2011

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Directions to “ SONYA BRITTING GREEN PA-C” Practice Location

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