Individual
BRIAN A GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1661 INTERNATIONAL PLACE DRIVE, SUITE 350, MEMPHIS, TN 38120
(901) 685-2696
(901) 682-9747
Mailing address
1661 INTERNATIONAL PLACE DRIVE, SUITE 350, MEMPHIS, TN 38120
(901) 685-2696
(901) 682-9747
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
MD0000046433
TN
2085R0202X
Diagnostic Radiology Physician
2004005488
MO
2085R0202X
Diagnostic Radiology Physician
49303
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127217
BLUE CHOICE
MO
05
—
201269206
—
MO
01
—
751786
HEALTHLINK
MO
Enumeration date
07/10/2006
Last updated
11/21/2024
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