Individual
HAROLD T GREEN JR.
Active
Individual
HAROLD T GREEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101030494
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006046029
VIRGINIA PREMIER
VA
05
—
006046029
—
VA
01
—
094290
ANTHEM BC/BS
VA
01
—
110054353
RAILROAD MEDICARE
VA
01
—
30291
CARENET
VA
01
—
44128
OPTIMA HEALTH
VA
01
—
46320
AETNA
VA
01
—
57991
SOUTHERN HEALTH
VA
01
—
813839
MAMSI
VA
01
—
C03017
GROUP PTAN
VA
01
—
C06695
GROUP PTAN
VA
01
—
V6046029
VIRGINIA COORDINATED CARE
VA
Enumeration date
08/31/2006
Last updated
12/06/2010
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