Individual
DR. KATRINA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3441 DICKERSON PIKE, NASHVILLE, TN 37207-2539
(615) 769-4401
(615) 769-4730
Mailing address
2020 21ST AVE S, SUITE 201, NASHVILLE, TN 37212-4354
(615) 269-0652
(615) 269-0135
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01066950A
IN
207P00000X
Emergency Medicine Physician
Primary
MD0000047159
TN
390200000X
Student in an Organized Health Care Education/Training Program
11014308A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1523695
—
TN
Enumeration date
06/17/2008
Last updated
09/08/2011
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