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Individual

DR. FREDRICK L GREENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 446-1255
Mailing address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 446-1255

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
9700973
NC
2086X0206X
Surgical Oncology Physician
Primary
9700973
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100116
SC
01
1076Q
NCBCBS
NC
05
891076Q
NC
Enumeration date
07/26/2006
Last updated
11/06/2007
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