Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 67914 | GA |
NPI | 1043540768 |
---|---|
Provider Name | Dr. Tamara S Greene |
First Address | Atlanta, GA 30309-3609 |
Second Address | Alpharetta, GA 30005 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/12/2009 |
Last Update Date | 28/08/2018 |