Individual
EDWARD RODMAN GREEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
106 CENTRAL AVENUE, HUNTSVILLE, AL 35801-3814
(256) 533-6080
(256) 536-2964
Mailing address
106 CENTRAL AVENUE, HUNTSVILLE, AL 35801-3814
(256) 533-6080
(256) 536-2964
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
8219
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02445
BLUE CROSS BLUE SHIELD
AL
Enumeration date
05/15/2006
Last updated
07/08/2007
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