Individual
DR. WILLIAM HARRIS GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1707 RIGGINS RD, TALLAHASSEE, FL 32308-5317
(850) 877-4134
(850) 402-9130
Mailing address
PO BOX 13859, TALLAHASSEE, FL 32317-3859
(850) 877-4134
(850) 402-9130
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME108696
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14AN7
BLUE CROSS BLUE SHIELD OF FLORIDA
FL
Enumeration date
06/15/2007
Last updated
06/13/2013
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