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Individual

DR. ERIC BRENT GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
210 25TH AVE N, SUITE 602, NASHVILLE, TN 37203-1606
(615) 327-4737
(615) 327-4737
Mailing address
210 25TH AVE N, SUITE 602, NASHVILLE, TN 37203-1606
(615) 312-0612
(615) 312-0612

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101239681
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3834389
TN
Enumeration date
07/24/2006
Last updated
04/22/2008
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