Philip David Green MD

NPI 1003800335 - Family Medicine - 207Q00000X

NPI Details
NPI 1003800335
Gender Male
Enumeration Date 09/01/2005
Last Updated 09/01/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
1040 MEDICAL PARK AVE
NEW BERN NC, 28562-5248, US
Phone (252) 633-1678
Fax (252) 633-1403
Business Location
PO BOX 12248
NEW BERN NC, 28561-2248, US
Phone (252) 514-6685
Fax (252) 514-2745
Toxanomy
Taxonomy Code 207Q00000X
License State North Carolina
License Number 23705
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According to our database, Philip David Green MD NPI is 1003800335, taxonomy code is 207Q00000X and license number is 23705, license state is located at North Carolina. Philip David Green MD physically located at 1040 Medical Park Ave, New Bern NC, 28562-5248. NPI Number Philip David Green MD has the Individual type.

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1003800335 NPI number is provided on an as is basis without warranty of any kind. 1003800335 is maintained by the National Plan & Provider Enumeration System. The contents of Philip David Green MD are for informational purposes only.