Individual
KERRION GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1040 EDGEWATER CORPORATE PKWY STE 101, INDIAN LAND, SC 29707-4526
(803) 548-7007
Mailing address
1040 EDGEWATER CORPORATE PKWY STE 101, INDIAN LAND, SC 29707-4526
(803) 548-7007
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
30014
SC
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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