Individual
DR. DWAYNE ERIC GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
SENTARA CAREPLEX HOSPITAL, 3000 COLISEUM DRIVE, HAMPTON, VA 23666
(757) 736-2008
(757) 736-1029
Mailing address
825 10TH ST NW APT 1179, WASHINGTON, DC 20001-5096
(678) 536-3607
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
057630
GA
207P00000X
Emergency Medicine Physician
Primary
51588
TN
207P00000X
Emergency Medicine Physician
74892
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
074892
TUFTS
MA
05
—
3083411
—
MA
05
—
533972530A
—
GA
01
—
J11666
BS
MA
Enumeration date
05/03/2006
Last updated
08/02/2022
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