Individual
DR. TIMOTHY E GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
205 E BOUNDRY ST, FARMERVILLE, LA 71241-2353
(318) 368-9348
Mailing address
205 E BOUNDRY ST, FARMERVILLE, LA 71241-2353
(318) 368-9348
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1141
LA
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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