# JAMES W GREENE MD LLC

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

## Provider details

- **NPI number:** 1396165577
- **Authorized official:** JAMES WALTER GREENE MD (PRESIDENT)
- **Authorized official phone:** (912) 434-9164

## Contact information

- **Practice address:** 3215 SHRINE RD STE 3, BRUNSWICK, GA 31520-4300
- **Practice address phone:** (912) 434-9164
- **Practice address fax:** (912) 434-9386
- **Mailing address:** 1015 ARTHUR J MOORE DR \# 2, SAINT SIMONS IS, GA 31522-2206
- **Mailing address phone:** (912) 434-9164

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 029657 | GA | Yes |

## Other

- **Enumeration date:** 04/25/2014
- **Last updated:** 07/08/2022