Mrs Georgia Lee Green, is a
Licensed Practical Nurse based in Indianola, Mississippi. Mrs Georgia Lee Green is licensed to practice in Mississippi (license number P281148) and her current practice location is
312 Janet Davis Circle, Indianola, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(662) 207-3020.
NPI number for Mrs Georgia Lee Green is 1396329207 and her current mailing address is 312 Janet Davis Circle, Indianola, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396329207.
Provider's Profile
Full Name | Mrs Georgia Lee Green |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 312 Janet Davis Circle, Indianola, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1396329207
- Provider Enumeration Date: 05/06/2021
- Last Update Date: 05/06/2021
Medical Identifiers
Medical identifiers for Mrs Georgia Lee Green such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396329207 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | P281148 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Georgia Lee Green is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Georgia Lee Green, 312 Janet Davis Circle, Indianola, MS 38751-3753 Ph: () - | Mrs Georgia Lee Green, 312 Janet Davis Circle, Indianola, MS 38751-3753 Ph: (662) 207-3020 |
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