Individual
NORMAN JAROD GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
129 N WASHINGTON ST, SUMTER, SC 29150-4949
(803) 774-9111
(803) 774-9130
Mailing address
4202 TURBEVILLE HWY, OLANTA, SC 29114-9620
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
3190
SC
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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