Individual
MRS. DANA FRANCES GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
170 KIMEL PARK DR, WINSTON SALEM, NC 27103-6946
(336) 768-1270
(336) 794-3598
Mailing address
4601 PARK RD STE 300, CHARLOTTE, NC 28209-2290
(704) 323-3468
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-10721
NC
Other
Enumeration date
10/15/2020
Last updated
07/25/2023
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