Individual
VINCENT EDWARD GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
300 SCUFFLETOWN RD, SIMPSONVILLE, SC 29681-7204
(864) 522-1550
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-2286
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31396
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
313967
—
SC
05
—
7523807
—
NJ
Enumeration date
10/17/2005
Last updated
10/30/2025
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