Individual
DR. JOHN MARSHALL GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 765-8987
(225) 765-8667
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-5727
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
06251R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336203
—
LA
Enumeration date
06/06/2006
Last updated
01/22/2021
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