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Individual
CHARLES WILLIAM GREENE JR.
Active
Individual
CHARLES WILLIAM GREENE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
17998
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179988
—
SC
01
—
5296584
AETNA
SC
01
—
576007863127
BLUE CHOICE OF SC
SC
01
—
576007863131
BCBS OF SC
SC
01
—
9212323
CIGNA
SC
Enumeration date
05/05/2006
Last updated
06/18/2018
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