Individual
DR. BOBBY G. GREEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
RT. 60 & CANNELTON HOLLOW RD., SMITHERS, WV 25186
(304) 442-5188
(304) 442-5188
Mailing address
CANNELTON HOLLOW RD., P.O. BOX 200, SMITHERS, WV 25186
(304) 442-5188
(304) 442-5188
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
WV705
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225670
CARELINK
WV
01
—
7139239
AETNA
WV
01
—
P00254800
RAILROAD MEDICARE
WV
Enumeration date
11/22/2005
Last updated
07/08/2007
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