Individual
CASEY GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1010 S MAIN ST, JONESBORO, AR 72401-3503
(870) 932-1820
(870) 972-6712
Mailing address
PO BOX 1533, JONESBORO, AR 72403-1533
(870) 932-1820
(870) 972-6712
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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