Individual
JAMI E. GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2828 FIRST AVENUE, SUITE 510, HUNTINGTON, WV 25701
(304) 529-0483
(304) 781-2687
Mailing address
2828 FIRST AVENUE, SUITE 510, HUNTINGTON, WV 25701
(304) 529-0483
(304) 781-2687
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23215
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
288002
MEDICAID - CHHI
OH
05
—
3810013111
—
WV
05
—
7100066490
—
KY
01
—
7411361
MEDICARE - CHHI
—
01
—
9347204
AETNA
WV
Enumeration date
05/10/2007
Last updated
05/17/2010
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