# TORRANCE GREEN MD PHD

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

## Provider details

- **NPI number:** 1801764287
- **Authorized official:** DR. TORRANCE T GREEN MD, PHD (AUTHORIZED OFFICIAL/PROVIDER)
- **Authorized official phone:** (601) 569-0549

## Contact information

- **Practice address:** 2506 LAKELAND DR STE 310, FLOWOOD, MS 39232-7640
- **Practice address phone:** (601) 832-8922
- **Mailing address:** 2506 LAKELAND DR STE 310, FLOWOOD, MS 39232-7640
- **Mailing address phone:** (601) 832-8922

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/27/2025
- **Last updated:** 10/27/2025