Carnell Green Jr
NPI #1972315596 in Terre Haute, Indiana
Provider Information
- NPI Number
- 1972315596
- Entity Type
- Individual
- Name
- Carnell Green Jr
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Jan 21, 2025
- Last Updated
- Jan 21, 2025
Practice Location
- Address
- 567 N 5TH ST
- City
- Terre Haute
- State
- Indiana
- ZIP Code
- 47809-1903
- Phone
- (812) 237-3632
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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