Mary Kelly Green MD Pllc
NPI #1790050698 in Marble Falls, Texas
Provider Information
- NPI Number
- 1790050698
- Entity Type
- Organization
- Organization Name
- Mary Kelly Green MD Pllc
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Mar 12, 2012
- Last Updated
- Jun 15, 2012
Practice Location
- Address
- 204 GATEWAY N
- Address 2
- SUITE C
- City
- Marble Falls
- State
- Texas
- ZIP Code
- 78654-6361
- Phone
- (803) 693-3787
Authorized Official
- Name
- MARY K. GREEN, MD
- Title
- OWNER
- Phone
- (803) 693-3787
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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