Individual
ELLEN WALFORD GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4119B BIOINFORMATICS BUILDING 130 MASON FARM ROAD, CHAPEL HILL, NC 27599-0001
(919) 966-2514
(919) 966-6842
Mailing address
4107B BIOINFORMATICS 130 MASON FARM ROAD, CHAPEL HILL, NC 27599-7080
(919) 966-2514
(919) 966-6842
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2023-01815
NC
390200000X
Student in an Organized Health Care Education/Training Program
PG205825
OR
390200000X
Student in an Organized Health Care Education/Training Program
RS2022-0794
NM
Other
Enumeration date
04/04/2019
Last updated
07/09/2023
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