Organization
GREEN TRANSITIONS MHT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNIELLE GREEN DO (OWNER / PRESIDENT)
(972) 616-4932
Entity
Organization
Contact information
Practice address
317 RUTH VISTA RD, LEXINGTON, SC 29073-8628
(972) 616-4932
(877) 489-3949
Mailing address
317 RUTH VISTA RD, LEXINGTON, SC 29073-8628
(972) 616-4932
(877) 489-3949
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
894
SC
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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