Individual
DR. ROLAND H GREEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
447 N BELAIR RD, STE 104, EVANS, GA 30809-3091
(678) 386-6201
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-3813
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01089378A
IN
207R00000X
Internal Medicine Physician
071739
GA
207R00000X
Internal Medicine Physician
Primary
296123-1
NY
207R00000X
Internal Medicine Physician
4301114090
MI
207R00000X
Internal Medicine Physician
C159465
CA
207R00000X
Internal Medicine Physician
DR.0062519
CO
207R00000X
Internal Medicine Physician
MD190366
OR
207R00000X
Internal Medicine Physician
MD19400
HI
207R00000X
Internal Medicine Physician
MD463717
PA
207R00000X
Internal Medicine Physician
ME138295
FL
207R00000X
Internal Medicine Physician
R8749
TX
208D00000X
General Practice Physician
071739
GA
Other
Enumeration date
04/27/2010
Last updated
05/22/2019
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