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Chelsea Alexis Green

NPI Registration Record

Provider / OrganizationNPIDate Certified
CHELSEA ALEXIS GREEN10731220732020-07-26
Entity TypeIndividual
Provider NameMs. Chelsea Alexis Green LAPC, NCC
Practice Office Address3552 HABERSHAM AT NORTHLAKE
TUCKER, GA US
Practice Office Telephone4048624332
Mailing Address3436 EBB CIR
FAIRBURN, GA 302133395 US
Business Telephone6785094377
HPT Codes
CodeLicense NoState
101YM0800X PRIMARYAPC007101 GA
OPI Codes

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