# GREEN TRANSITIONS MHT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144609215
- **Authorized official:** DONNIELLE GREEN DO (OWNER / PRESIDENT)
- **Authorized official phone:** (972) 616-4932

## Contact information

- **Practice address:** 317 RUTH VISTA RD, LEXINGTON, SC 29073-8628
- **Practice address phone:** (972) 616-4932
- **Practice address fax:** (877) 489-3949
- **Mailing address:** 317 RUTH VISTA RD, LEXINGTON, SC 29073-8628
- **Mailing address phone:** (972) 616-4932
- **Mailing address fax:** (877) 489-3949

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 894 | SC | Yes |

## Other

- **Enumeration date:** 05/22/2015
- **Last updated:** 05/22/2015