Individual
DR. JAMES R GREEN SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2024 15TH ST, STE 4N, MERIDIAN, MS 39301-4130
(601) 693-6663
(601) 693-6665
Mailing address
PO BOX 5378, MERIDIAN, MS 39302-5378
(601) 693-6663
(601) 693-6665
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
05615
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00014061
—
MS
Enumeration date
05/31/2005
Last updated
12/17/2012
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