Individual
MATTHEW B GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1119 E LAMAR ST, AMERICUS, GA 31709
(229) 924-4022
(229) 924-7133
Mailing address
1119 E LAMAR ST, AMERICUS, GA 31709
(229) 924-4022
(229) 924-7133
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002701
GA
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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