Individual
ROBERT E. GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1100 BROOKHAVEN RD, FRANKLIN, KY 42134-2746
(270) 598-4827
Mailing address
5059 STROUD RD, CEDAR HILL, TN 37032-4802
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02796
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000340428
BLUE CROSS BLUE SHIELD
KY
05
—
64060049
—
KY
01
—
P00162404
RAILROAD MEDICARE
KY
Enumeration date
06/05/2006
Last updated
12/20/2007
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