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Individual

HAROLD T GREEN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2421 CHAMBERLAYNE AVE, RICHMOND, VA 23222-4205
(804) 321-4513
(804) 329-2160
Mailing address
2421 CHAMBERLAYNE AVE, RICHMOND, VA 23222-4205
(804) 321-4513
(804) 329-2160

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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