Individual
TRACY GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HEALTHCARE
Contact information
Practice address
200 E BESSEMER AVE STE 100, GREENSBORO, NC 27401-1416
(336) 686-9514
Mailing address
200 E BESSEMER AVE STE 100, GREENSBORO, NC 27401-1416
(336) 686-9514
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
03/13/2024
Last updated
11/05/2024
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