Individual
GARRETT GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1002 N CHURCH ST STE 100, GREENSBORO, NC 27401-1447
(336) 890-2210
Mailing address
301 MEADOWOOD ST, GREENSBORO, NC 27409-2305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001009895
NC
363A00000X
Physician Assistant
—
—
Other
Enumeration date
03/25/2020
Last updated
07/06/2022
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