Provider Demographics
NPI:1922767102
Name:GREEN, RITA (ACCFINANCECOUNSELOR)
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:
Last Name:GREEN
Suffix:
Gender:F
Credentials:ACCFINANCECOUNSELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:111 S HIGHLAND ST # 269
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38111-4640
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3618 WALKER AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38111-5971
Practice Address - Country:US
Practice Address - Phone:931-325-4931
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-15
Last Update Date:2021-12-15
Deactivation Date:
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