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Individual
MS. CAROL MYRTLE GREEN
Active
Individual
MS. CAROL MYRTLE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
3345
NC
Other
Enumeration date
12/02/2005
Last updated
05/13/2010
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