Individual
MARY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1214 SPRING ST #1, JEFFERSONVILLE, IN 47130
(812) 283-3993
(812) 283-7294
Mailing address
1214 SPRING ST #1, JEFFERSONVILLE, IN 47130
(812) 283-3993
(812) 283-7294
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01036637A
IN
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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