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Individual

WILLIAM GORDON GREENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
529 STEPHENSON AVE, SUITE 5, SAVANNAH, GA 31405-5984
(912) 354-4180
(912) 303-4941
Mailing address
529 STEPHENSON AVE, SUITE 5, SAVANNAH, GA 31405-5984
(912) 354-4180
(912) 303-4941

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
051808
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
359001
WELLCARE
GA
01
407507511B
PEACH STATE HEALTH PLAN
GA
05
407507511B
GA
01
P00340705
RAILROAD MEDICARE
GA
Enumeration date
12/09/2005
Last updated
07/03/2023
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