John W. Green, M.D.
NPI #1114082559 in Newberry, South Carolina
Provider Information
- NPI Number
- 1114082559
- Entity Type
- Individual
- Name
- John W. Green, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Family Medicine
- Credential
- M.D.
- Enumeration Date
- Dec 26, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2562 KINARD ST
- City
- Newberry
- State
- South Carolina
- ZIP Code
- 29108-2910
- Phone
- (803) 276-6689
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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