Individual
PHILLIP GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1002 EAGLE VIEW DR APT E, BIRMINGHAM, AL 35212-4218
(205) 764-3930
Mailing address
1002 EAGLE VIEW DR APT E, BIRMINGHAM, AL 35212-4218
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-174969
AL
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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