Individual
DR. JAMES F GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1330 BOILING SPRINGS RD, NORTH GROVE MEDICAL PARK SUITE 2300, SPARTANBURG, SC 29303-2244
(864) 585-6491
Mailing address
PO BOX 2168, SPARTANBURG, SC 29304-2168
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4678
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046783
—
SC
01
—
197528
MEDOCST
SC
01
—
4264379
AETNA
SC
05
—
890532A
—
NC
Enumeration date
02/22/2006
Last updated
12/14/2007
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