Edward Green, MD
NPI #1073719803 in Jackson, Mississippi
Provider Information
- NPI Number
- 1073719803
- Entity Type
- Individual
- Name
- Edward Green, MD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Radiology - Diagnostic Radiology
- Credential
- MD
- Enumeration Date
- Jun 27, 2007
- Last Updated
- Oct 6, 2022
Practice Location
- Address
- 969 LAKELAND DR
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39216-4606
- Phone
- (601) 200-6162
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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