Individual
DR. MAXWELL GREENMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2801 RANDOLPH RD, STE 200, CHARLOTTE, NC 28211-1047
(704) 375-2101
Mailing address
2801 RANDOLPH RD, STE 200, CHARLOTTE, NC 28211-1047
(704) 375-2101
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
18873
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
365373
—
SC
05
—
8937154
—
NC
Enumeration date
06/09/2005
Last updated
03/24/2014
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