# GREENE FAMILY MEDICINE, APMC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GREENE FAMILY MEDICINE, APMC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1922268051
- **Legal business name:** GREENE FAMILY MEDICINE, APMC
- **Authorized official:** DR. CRAIG H GREENE MD (PRESIDENT)
- **Authorized official phone:** (337) 594-8958

## Contact information

- **Practice address:** 216 PARK ST, KROTZ SPRINGS, LA 70750
- **Practice address phone:** (337) 594-8958
- **Practice address fax:** (337) 594-8987
- **Mailing address:** 2967 S UNION ST, OPELOUSAS, LA 70570-5740
- **Mailing address phone:** (337) 594-8958
- **Mailing address fax:** (337) 594-8987

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/12/2008
- **Last updated:** 01/11/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1420921 | — | LA |