Individual
TERRY D GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA, QMHP, CDS
Contact information
Practice address
121 GREENWICH RD, CHARLOTTE, NC 28211-2355
(980) 208-4647
(980) 237-9266
Mailing address
121 GREENWICH RD STE 205, CHARLOTTE, NC 28211-2365
(980) 335-1222
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HC5833
NC
374U00000X
Home Health Aide
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Other
Enumeration date
03/01/2021
Last updated
09/13/2022
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