Gregory Chad Green Od

NPI #1720152739 in Demopolis, Alabama

Provider Information

NPI Number
1720152739
Entity Type
Organization
Organization Name
Gregory Chad Green Od
Primary Specialty
Optometrist
Enumeration Date
Nov 20, 2006
Last Updated
Jul 14, 2022

Practice Location

Address
1401 US HIGHWAY 80 WEST
State
Alabama
ZIP Code
36732-4127
Phone
(334) 289-0466

Authorized Official

Name
DR. G CHAD GREEN, O.D.
Title
OWNER
Phone
(334) 289-0466

Specialties & Taxonomy Codes

Specialty
Optometrist

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