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Individual

TERRI YARBROUGH GREEN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
411 E MATTHEWS AVE, JONESBORO, AR 72401-3142
(870) 930-3518
(870) 930-3569
Mailing address
PO BOX 1326, JONESBORO, AR 72403-1326
(870) 930-3518
(870) 930-3569

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
R3842
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
52119
BLUE CROSS BLUE SHIELD
AR
Enumeration date
06/12/2006
Last updated
07/08/2007
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