Individual
DR. CHARLES GOODWIN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
221 S MIDLAND AVE, MONROE, GA 30655-1629
(770) 267-2539
Mailing address
PO BOX 1006, MONROE, GA 30655-1006
(770) 267-2539
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH014218
GA
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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