Individual
DR. CRAIG A. GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1781 TATE BLVD SE, SUITE 203, HICKORY, NC 28602-4251
(704) 373-0212
(704) 342-5871
Mailing address
PO BOX 601067, CHARLOTTE, NC 28260-1067
(704) 373-0212
(704) 342-5871
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
13616
SC
2080P0202X
Pediatric Cardiology Physician
Primary
35906
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558350504
—
NC
05
—
8937041
—
NC
05
—
N35906
—
SC
Enumeration date
10/20/2005
Last updated
01/09/2017
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