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Individual

DR. PATRICK DANIEL GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-3202
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-3202

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME109820
FL
207RG0100X
Gastroenterology Physician
Primary
2015-01229
NC

Other

Enumeration date
06/05/2008
Last updated
06/27/2016
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