Individual
DR. JOHN C. GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2173 CENTERVILLE PL STE A, TALLAHASSEE, FL 32308-8303
(850) 385-0174
Mailing address
2173 CENTERVILLE PL STE A, TALLAHASSEE, FL 32308-8303
(850) 385-0174
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2012011141
MO
207L00000X
Anesthesiology Physician
30734
OK
207L00000X
Anesthesiology Physician
Primary
ME128019
FL
207L00000X
Anesthesiology Physician
Q3879
TX
Other
Enumeration date
04/23/2008
Last updated
08/17/2016
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