Individual
DR. GEORGE PATRICK GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1192 POPE ST, TURBEVILLE, SC 29162-0459
(843) 659-2137
(843) 659-2135
Mailing address
PO BOX 459, TURBEVILLE, SC 29162-0459
(843) 659-2137
(843) 659-2135
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2106
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z21067
—
SC
Enumeration date
06/24/2008
Last updated
06/24/2008
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