Individual
LAUREN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2061 HIGHWAY 52, MONCKS CORNER, SC 29461-5017
(843) 761-8800
Mailing address
293 POPES LN, LEXINGTON, SC 29072-7370
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
SC
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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