Individual
DR. JASON WESLEY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1940 ALCOA HWY STE 210, KNOXVILLE, TN 37920-2264
(423) 794-9400
(865) 305-6563
Mailing address
PO BOX 440010, NASHVILLE, TN 37244-0010
(865) 670-6199
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
3480
TN
207RP1001X
Pulmonary Disease Physician
Primary
3480
TN
Other
Enumeration date
07/28/2011
Last updated
08/30/2019
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