Individual
DR. CHARLES GRAY GREEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 FREEDOM WAY, VETERANS ADMINISTRATION HOSPITAL PCT B, AUGUSTA, GA 30904-6258
(706) 733-0188
Mailing address
1 FREEDOM WAY, VETERANS ADMINISTRATION HOSPITAL PCT B, AUGUSTA, GA 30904-6258
(706) 733-0188
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
017456
GA
Other
Enumeration date
05/12/2006
Last updated
08/14/2009
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