Organization
HAROLD T GREEN JR MD PC
Active
Other names
GREEN MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAROLD T GREEN JR. MD (PHYSICIAN)
(804) 329-8510
Entity
Organization
Contact information
Practice address
2421 CHAMBERLAYNE AVE, RICHMOND, VA 23222-4205
(804) 329-8510
(804) 329-2160
Mailing address
2421 CHAMBERLAYNE AVE, RICHMOND, VA 23222-4205
(804) 329-8510
(804) 329-2160
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
0101030494
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255460887
GROUP NPI
VA
01
—
DD1393
RAILROAD MEDICARE
VA
Enumeration date
03/02/2007
Last updated
03/31/2010
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