Donnielle Green DO

NPI 1073620530 - Internal Medicine - 207R00000X

NPI Details
NPI 1073620530
Gender Female
Enumeration Date 08/23/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1 MEDICAL PARK DR
BUILDING 4 SUITE A
CHESTER SC, 29706-9769, US
Phone (803) 581-2001
Fax (803) 581-0827
Business Location
1 MEDICAL PARK DR
BUILDING 4 SUITE A
CHESTER SC, 29706-9769, US
Phone (803) 581-2001
Fax (803) 581-0827
Toxanomy
Taxonomy Code 207R00000X
License State South Carolina
License Number 894
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According to our database, Donnielle Green DO NPI is 1073620530, taxonomy code is 207R00000X and license number is 894, license state is located at South Carolina. Donnielle Green DO physically located at 1 Medical Park Dr, Chester SC, 29706-9769. NPI Number Donnielle Green DO has the Individual type.

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1073620530 NPI number is provided on an as is basis without warranty of any kind. 1073620530 is maintained by the National Plan & Provider Enumeration System. The contents of Donnielle Green DO are for informational purposes only.