Andrew Fay Green

NPI #1407219686 in Muskogee, Oklahoma

Provider Information

NPI Number: 1407219686
Entity Type: Individual
Name: Andrew Fay Green
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Apr 4, 2016
Last Updated: Apr 4, 2016

Practice Location

Address: 9000 S 31ST ST E
City: Muskogee
State: Oklahoma
ZIP Code: 74403-9001
Phone: (870) 514-1978

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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