# MICHAEL E. GREENE MD, LLC

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

## Provider details

- **NPI number:** 1780613992
- **Authorized official:** DR. MICHAEL E GREENE M.D. (OWNER)
- **Authorized official phone:** (478) 746-3800

## Contact information

- **Practice address:** 682 HEMLOCK ST, SUITE 200, MACON, GA 31201-6883
- **Practice address phone:** (478) 746-3800
- **Practice address fax:** (478) 746-3882
- **Mailing address:** PO BOX 26940, MACON, GA 31221-6940
- **Mailing address phone:** (478) 746-3800
- **Mailing address fax:** (478) 746-3882

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 034840 | GA | Yes |

## Other

- **Enumeration date:** 07/01/2006
- **Last updated:** 04/17/2015