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Individual

MR. MICHAEL JAMIEL GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3816 SCHOONER TRL, CHESAPEAKE, VA 23321-3215
(757) 618-3273
Mailing address
PO BOX 9424, CHESAPEAKE, VA 23321-9424
(757) 618-3273

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
05/26/2018
Last updated
05/26/2018
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