Gregory Chad Green, Od, PC

NPI #1326779968 in Fayette, Alabama

Provider Information

NPI Number: 1326779968
Entity Type: Organization
Organization Name: Gregory Chad Green, Od, PC
Primary Specialty: Optometrist
Enumeration Date: Jun 23, 2022
Last Updated: Jun 23, 2022

Practice Location

Address: 124 16TH ST NE
City: Fayette
State: Alabama
ZIP Code: 35555-1340
Phone: (205) 932-5286

Authorized Official

Name: DR. GREGORY CHAD GREEN, OD
Title: PRESIDENT
Phone: (334) 289-0466

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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