Organization
GREEN CLINIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER BRIAN GREEN M.D. (PRESIDENT/OWNER)
(901) 755-2255
Entity
Organization
Contact information
Practice address
5220 PARK AVE STE 150, MEMPHIS, TN 38119-3548
(901) 755-2255
(901) 755-9566
Mailing address
5220 PARK AVE STE 150, MEMPHIS, TN 38119-3548
(901) 755-2255
(901) 755-9566
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD25222
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3720127
—
TN
Enumeration date
03/26/2008
Last updated
10/30/2018
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