Corey Edward Greene, PAC

NPI #1174828867 in Chapmanville, West Virginia

Provider Information

NPI Number: 1174828867
Entity Type: Individual
Name: Corey Edward Greene, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Jan 11, 2011
Last Updated: Mar 16, 2022

Practice Location

Address: 40 SHAE AVE STE A
City: Chapmanville
State: West Virginia
ZIP Code: 25508-9805
Phone: (304) 310-2261

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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Organizations

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