Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jamon Laquentin Green

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053025791

Jamon Laquentin Green is a Student in an Organized Health Care Education/Training Program in Stockbridge, Georgia. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

240 Corporate Center Dr Ste B
Stockbridge, GA 30281-7214
Phone: (770) 728-3990
Fax: (470) 481-6998
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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1053025791
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 9, 2023
Last updated in NPPESJanuary 9, 2023
Certification dateJanuary 8, 2023
Mailing address240 Corporate Center Dr Ste B, Stockbridge, GA 30281-7214

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