Individual
DONNIELLE LYNN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
951 WENDOVER HEIGHT DR, SHELBY, NC 28150-3565
(704) 487-4677
(704) 887-6450
Mailing address
PO BOX 470408, CHARLOTTE, NC 28247-0408
(704) 375-0100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2012-01587
NC
207R00000X
Internal Medicine Physician
894
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008949
—
SC
Enumeration date
08/23/2006
Last updated
09/05/2025
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