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Individual
MAGGIE GREEN
Active
Individual
MAGGIE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
1559
GA
367H00000X
Anesthesiologist Assistant
67.000136
OH
367H00000X
Anesthesiologist Assistant
Primary
AA505
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000234673
UNISON
OH
01
—
000000558049
ANTHEM
OH
01
—
0583328
BCMH
OH
05
—
2835614
—
OH
01
—
9091135
AETNA
OH
01
—
P00469470
MEDICARE RAILROAD
OH
Enumeration date
07/25/2007
Last updated
06/11/2025
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