Organization
JEANNE GREEN M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEANNE GREEN MD (OWNER)
(812) 248-4655
Entity
Organization
Contact information
Practice address
109 HUNTER STATION WAY, SELLERSBURG, IN 47172-8915
(812) 248-4655
(812) 248-4656
Mailing address
109 HUNTER STATION WAY, SELLERSBURG, IN 47172-8915
(812) 248-4655
(812) 248-4656
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01061001A
IN
Other
Enumeration date
04/03/2008
Last updated
04/08/2008
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