Individual
DR. DANIEL JOSEPH GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
865 S 1ST ST, JESUP, GA 31545-0210
(912) 530-3176
Mailing address
865 S 1ST ST, JESUP, GA 31545-0210
(912) 530-3176
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
53230
GA
207Q00000X
Family Medicine Physician
Primary
053230
GA
Other
Enumeration date
11/02/2005
Last updated
08/22/2016
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