Individual
MICHAEL E GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
854 LONE OAK DRIVE, GALLATIN, TN 37066
(615) 452-1602
(615) 451-0139
Mailing address
854 LONE OAK DRIVE, GALLATIN, TN 37066
(615) 452-1602
(615) 451-0139
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
C7923
AR
207W00000X
Ophthalmology Physician
Primary
MD0000025545
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0191345
BLUE CROSS BLUE SHIELD
TN
01
—
0191345
TENNCARE SELECT
—
01
—
0840119
UNITED HEALTHCARE
—
01
—
2680132003
CIGNA COMMERCIAL
—
01
—
2680132004
CIGNA FLEX
—
01
—
282865
ONE HEALTH
—
05
—
3083540
—
TN
05
—
3373178
—
TN
01
—
4480107
AETNA
—
01
—
621571208003
CIGNA
—
01
—
877710
CLARITY VISION
—
01
—
905714
BLOCK VISION
—
01
—
NASH86608
PHCS
—
01
—
TN5545
EYEMED
—
Enumeration date
09/07/2006
Last updated
03/23/2010
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