Stephen K Green (NPI# 1770508145, PAC ID# 2466406830) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
Nation Provider ID (NPI) | 1770508145 |
PAC ID by PECOS | 2466406830 |
Professional Enrollment ID | I20050309000045 |
Full Name | Stephen K Green |
Address |
4200 Wade Green Rd Suite 204 Kennesaw GA 30144-1237 |
Gender | M |
Credential | DC |
Medical School | LIFE CHIROPRACTIC COLLEGE - WEST |
Graduation Year | 1985 |
Primary Specialty | CHIROPRACTIC |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
4200 Wade Green Rd, Suite 204, Kennesaw, GA 30144-1237 |
Street Address |
4200 WADE GREEN RD SUITE 204 |
City | KENNESAW |
State | GA |
Zip | 30144-1237 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lorena Jesus | Chiropractic | 501 Roberts Nwct, Kennesaw, GA 30144 | |
Justin M Tinsley | Chiropractic | 2710 Town Ctr Dr Nw, Suite 104, Kennesaw, GA 30144 | |
Amy L Reich | Chiropractic | Big Idea Family Chiropractic Center | 3450 Acworth Due W Nwrd, Suite 330, Kennesaw, GA 30144-1002 |
Lucy Gomez Rosenberg | Chiropractic | 3450 Acworth Due W Nw Rd, Suite 330, Kennesaw, GA 30144-1002 | |
Michael Miller | Podiatry | 3450 Acworth Due W Rd Nw, Suite 320, Kennesaw, GA 30144-1002 | |
Steven H Bailey | Hand Surgery | Crawford Plastic Surgery | 3450 Acworth Due W Rd, Bldg 200 Suite 220, Kennesaw, GA 30144-1078 |
Marcus H Crawford | Plastic and Reconstructive Surgery | Crawford Plastic Surgery | 3450 Acworth Due W Rd, Bldg 200 Suite 220, Kennesaw, GA 30144-1078 |
Jered M Hull | Chiropractic | 3400 Blue Springs Nwrd, Suite 100, Kennesaw, GA 30144-1079 | |
Jill G Sebaugh | Clinical Social Worker | 4255 Wade Green Rd, Suite 414, Kennesaw, GA 30144-1244 | |
Heather Zutaut Deahl | Optometry | Myeyedr Optometry of Georgia, LLC | 1415 Wooten Lake Rd Nw, Suite 100, Kennesaw, GA 30144-1342 |
Find all physicians in zip 30144 |
City | KENNESAW |
Zip Code | 30144 |
Specialty | CHIROPRACTIC |
City + Specialty | KENNESAW + CHIROPRACTIC |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.