Individual
TERESA L. GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4421
(256) 533-8362
(256) 533-8262
Mailing address
930 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4312
(256) 519-8104
(256) 519-8327
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-108
AL
Other
Enumeration date
10/17/2006
Last updated
07/20/2016
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