Individual
WILLIAM DAVID GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAA
Contact information
Practice address
5353 REYNOLDS ST, SAVANNAH, GA 31405-6015
(912) 355-7214
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(855) 851-4405
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
3425
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001964B
—
GA
Enumeration date
08/31/2006
Last updated
07/21/2022
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