JAMON LAQUENTIN GREEN NPI 1053025791

NPI Information

NPI: 1053025791
Provider Name: JAMON LAQUENTIN GREEN
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
240 CORPORATE CENTER DR STE B
STOCKBRIDGE, GA
ZIP 30281
Phone: (770) 728-3990
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Jamon Laquentin Green is a student in an organized health care education training program in Stockbridge, GA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jamon Laquentin Green NPI is 1053025791. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

240 CORPORATE CENTER DR STE B
STOCKBRIDGE, GA
ZIP 30281-214
Phone: (770) 728-3990
Fax: (470) 481-6998

The enumeration date for this NPI number is 1/9/2023 and was last updated on 1/9/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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