Individual
JUSTIN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5211 COLLEGE RD S, WILMINGTON, NC 28412-2209
(910) 815-3170
(910) 793-5639
Mailing address
1202 MEDICAL CENTER DR, WILMINGTON, NC 28401-7307
(910) 341-1540
(910) 431-4048
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-05606
NC
Other
Enumeration date
03/11/2015
Last updated
03/14/2025
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