J Douglas Green Jr MD PA
NPI #1417072190 in Jacksonville, Florida
Provider Information
- NPI Number
- 1417072190
- Entity Type
- Organization
- Organization Name
- J Douglas Green Jr MD PA
- Primary Specialty
- Otolaryngology - Otology & Neurotology
- Enumeration Date
- Mar 20, 2007
- Last Updated
- Aug 23, 2007
Practice Location
- Address
- 10475 CENTURION PKWY N
- Address 2
- SUITE 303
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32256
- Phone
- (904) 399-0350
Authorized Official
- Name
- DR. J DOUGLAS GREEN JR., M.D.
- Title
- OTOLARYNGOLOGIST
- Phone
- (904) 399-0350
Specialties & Taxonomy Codes
| Specialty |
|---|
| Otolaryngology - Otology & Neurotology — Otology & Neurotology |
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