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Individual
DR. MICHAEL GREENE
Active
Individual
DR. MICHAEL GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
P21939
MD
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
064379
GA
Other
Enumeration date
08/15/2007
Last updated
05/20/2014
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